Wiki Inevitable Spontaneous Abortion????

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Code: O03

Code Name: ICD-10 Code for Spontaneous abortion

Block: Spontaneous abortion

Note: Incomplete abortion includes retained products of conception following spontaneous abortion

Includes: miscarriage

Details: Pregnancy with abortive outcome (O00-O08)

Excludes 1: continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)

Guidelines: Pregnancy, childbirth and the puerperium (O00-O9A)

Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Trimesters are counted from the first day of the last menstrual period. They are defined as follows:1st trimester- less than 14 weeks 0 days
2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
3rd trimester- 28 weeks 0 days until delivery


Use additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy

Excludes 1: supervision of normal pregnancy (Z34.-)

Excludes 2: mental and behavioral disorders associated with the puerperium (F53)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

For more details on O03 , ICD-10 Code for Spontaneous abortion visit: https://coder.aapc.com/icd-10-codes/

keke74

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Hello everyone. I need help with the dx code for Inevitable Spontaneous Abortion. Would 634.90 be appropriate or 640.03? Any input would be appreciated.
 

apotteiger

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inevitable abortion

I would select 640.03 as the documentation does not indicate a spontaneous abortion has occurred. In the code book under threatened abortion or miscariage the coder is directed to code 640.0. Indented under this code the option "with subsequent abortion" directs the coder to 634.9.
 

preserene

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No, it is not a "threatening condition. It clearly states that it is INEVITABLE , meaning the process of abortion has started already for sure and inevtably gets aborted (here spontaneous variety). There is no question of threatening. Any treatment modality is not going to stop the spontaneous abortion here.
The starter of the thread is right in asking this or that.
Well, I vote for 634.9 for sure.
 

apotteiger

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I am fully aware of the progression of a spontaneous abortion (stage 1 threatened, stage 2 inevitable, stage 3 incomplete, stage 4 complete). However, there is still a risk the patient could delivery a live-born fetus (liveborn by definition is taking a breath, having a heartbeat, noting a pulsating cord at the time of delivery, or having muscle movement -- regardless of the length of time this continues after birth. If the infant takes one breath, the coding scenario changes to an early delivery and not an abortive outcome per coding clinic guidelines.

If the physician's office codes an abortion then the facility codes a live birth, an audit could begin from the insurance company. Granted, the risk fo this occurring is remote, but that is the reason I would code hemorrhage of pregnancy up until the time the spontaneous abortion actually occurs.
 
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jifnif

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Inevitable abortion

Would everyone agree if there were confirmation via US that there is no heartbeat when there was one confirmed a day prior that this is definitely a 634.9X?
 

mitchellde

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No it is not, this is an intrauterine fetal death. It is not an AB or a threatened AB at this time. But if there was a heat beat the day prior and now not, what does the physician state? It is not up to the coder to diagnose, we only select the code to go with the documented diagnosis
 
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