Ob-Gyn Coding Alert

ICD-10:

Your 640.0x Codes Condense Into a Single Option in 2014

Published on Wed Jan 23, 2013

Avoid reporting this ICD-10 code with O00-O08.

A threatened abortion is a condition suggesting the patient may miscarry before her 20th week of pregnancy. This may be characterized by bleeding, cramping or pain, and/or cervical dilation. This condition should not be confused with spotting in pregnancy (ICD-9-CM code 649.5x), which is not classified as a threatened abortion.

Currently, you would report this condition with:

640.00, Threatened abortion, unspecified

640.01, Threatened abortion, delivered

640.03, Threatened abortion, antepartum condition or complication.

ICD-10-CM Code: In ICD-10, you will report O20.0 (Threatened abortion). You have a one-to-one correlation between these codes, meaning you won’t have too much difficulty making the shift in 2014. Note that you do not have to specify the trimester with this code as the gestational requirement is built into the code’s inclusion statement.

Documentation: A provider may document the patient is bleeding during a pregnancy prior to viability, but as mentioned above it should represent more than spotting. In particular, look for "hemorrhage specified as due to threatened abortion."

Here’s how you’ll find this code in your Alphabetic Index:

Abortion (complete) (spontaneous) O03.9

threatened (spontaneous) O20.0

spontaneous - see Abortion (complete) (spontaneous)

threatened O20.0

Hemorrhage, hemorrhagic (concealed) R58

antepartum (with) O46.90

before 20 weeks gestation O20.9

threatened abortion O20.0

Pregnancy(childbirth) (labor) (puerperium) - see also Delivery and Puerperal

complicated by (care of) (management affected by)

hemorrhage