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2025 ICD-10-CM code O03.1

Delayed or excessive hemorrhage following an incomplete spontaneous abortion.

Refer to official ICD-10-CM coding guidelines for appropriate use of this code.Only use this code for maternal records.The code should not be used to bill for neonatal care.

The medical necessity for treatment is established by the presence of significant blood loss, potential for complications, or signs of hemodynamic instability.The severity of the bleeding and the patient's clinical status will dictate the appropriate level of intervention.

Obstetrician-gynecologist or other qualified healthcare professional managing pregnancy complications.

IMPORTANT:Related codes may include those specifying the type of incomplete abortion or other complications such as infection (O03.0) or embolism (O03.2).

In simple words: This code is used when a woman experiences heavy or prolonged bleeding after a miscarriage where some pregnancy tissue remains in the uterus.

This ICD-10-CM code classifies cases of delayed or excessive bleeding after an incomplete spontaneous abortion (miscarriage).The hemorrhage is a complication arising from the incomplete expulsion of pregnancy products from the uterus.This code is used when the hemorrhage occurs after the initial event of the incomplete abortion.

Example 1: A 28-year-old woman presents to the emergency department with heavy vaginal bleeding several hours after a miscarriage.An ultrasound confirms retained products of conception.The patient undergoes a dilation and curettage (D&C) to remove the remaining tissue., A 35-year-old woman experiences persistent, moderate vaginal bleeding for five days following an incomplete miscarriage.She is evaluated in the office, and her hemoglobin level is low, indicative of blood loss.She receives medication to help control the bleeding., A 22-year-old woman who had an incomplete miscarriage at home two days prior presents to her physician with severe vaginal bleeding and signs of hypovolemic shock.She is admitted to the hospital, receives blood transfusions, and undergoes emergency surgery to address the bleeding.

Detailed medical history including the timing and nature of the miscarriage and the bleeding episode.Ultrasound reports confirming retained products of conception or other findings.Laboratory results (e.g., hemoglobin and hematocrit levels).Documentation of any treatments administered (e.g., medications, surgery).

** This code is used to capture the complication of hemorrhage specifically related to an incomplete spontaneous abortion.It is crucial to accurately document the timing and severity of the bleeding to ensure appropriate coding and billing practices.

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