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Wiki Incomplete Spontaneous Abortion

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Can anyone please clear this doubt regarding o03.4 series.

Chief Complaint is vaginal bleeding.

The patient was diagnosed with Incomplete spontaneous abortion and has a past medical history of hypertension, diabetes, and obesity. Are we supposed to code the past medical history conditions as combination codes with O series or just code as I10, E11.9 so on...

The ultrasoud report states that there is no evidence of gestational sac or intrauterine pregnancy.

Looking forward for reply.

Thanks and Regards.
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La Plata, MD
Best answers

If the patient encounter was for vaginal bleeding and no pregnancy at the time of service but provider documented the spontaneous abortion, then O03 series applies. As for the other conditions, you can code them without obstetrical complication codes since there is no pregnancy.

Have a great day
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