2025 ICD-10-CM code O02.8
(Active) Effective Date: N/A Revision Date: N/A Pregnancy with abortive outcome - O02 Other abnormal products of conception O00-O9A Pregnancy, childbirth and the puerperium Feed
Other specified abnormal products of conception.
Medical necessity is established by the diagnosis of an abnormal product of conception which poses a risk to the patient's health if not managed appropriately.
The physician is responsible for diagnosing the abnormal product of conception through clinical examination, ultrasound, and possibly laboratory testing of hCG levels. They also manage the patient's care, which may involve expectant management, medical management, or surgical intervention.
In simple words: This code indicates a pregnancy loss where the development of the pregnancy was abnormal in a way not covered by other, more specific codes.
This code is used to describe an abnormal product of conception that is not a blighted ovum, nonhydatidiform mole, or missed abortion.It includes specific conditions like an inappropriate change in quantitative human chorionic gonadotropin (hCG) levels in early pregnancy.
Example 1: A woman presents with vaginal bleeding in early pregnancy.Ultrasound reveals an empty gestational sac with no fetal pole or yolk sac, but also not consistent with a blighted ovum or molar pregnancy.hCG levels are not rising appropriately. The diagnosis of other specified abnormal products of conception is made., A patient experiences a miscarriage, and the pathology report indicates an abnormality in the placental development not otherwise specified.This would be coded as O02.8., A woman in her first trimester has a sharp decline in hCG levels, but the ultrasound does not show a clear cause of miscarriage such as a blighted ovum or ectopic pregnancy.This could be coded O02.81, which falls under O02.8.
Documentation should include details of the clinical presentation (e.g., vaginal bleeding, cramping), ultrasound findings, relevant laboratory results (e.g., hCG levels), and the method of management chosen.Pathology reports should be documented if available.
** It is important to distinguish O02.8 from other, more specific codes within the O00-O08 range when the clinical picture aligns with those descriptions.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital