2025 ICD-10-CM code O03.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetric - Pregnancy with abortive outcome Chapter 15: Pregnancy, childbirth and the puerperium Feed
Embolism following an incomplete spontaneous abortion.
Modifiers may be applicable depending on the specific circumstances of the case and the procedures performed.Consult the appropriate coding guidelines.
The medical necessity for coding O03.2 is established by the presence of an embolism complicating an incomplete spontaneous abortion.This requires immediate medical intervention to prevent potentially life-threatening consequences.
Obstetricians and gynecologists, emergency medicine physicians, and other healthcare professionals involved in the management of obstetric emergencies.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O00-O9A (Pregnancy, childbirth and the puerperium)
In simple words: This code is used when a woman has a miscarriage where some pregnancy tissue remains in the uterus, and she then develops a blood clot or other type of embolism (blocked blood vessel). This is a serious complication requiring immediate medical care.
This code classifies instances of embolism (air, amniotic fluid, blood clot, fat, pulmonary, pyemic, septic, or soap) occurring as a complication after an incomplete spontaneous abortion (miscarriage).The abortion is considered incomplete because some products of conception remain in the uterus. This condition necessitates prompt medical attention due to the potential for life-threatening complications.
Example 1: A 30-year-old woman presents to the emergency room with heavy vaginal bleeding and shortness of breath after a miscarriage.Ultrasound reveals retained products of conception, and further investigation reveals a pulmonary embolism., A 25-year-old woman experiences a miscarriage at home.She is later admitted to the hospital due to severe chest pain and shortness of breath.Diagnostic testing confirms a fat embolism secondary to the incomplete abortion., A 40-year-old woman undergoes a D&C (dilation and curettage) to remove retained products of conception after a miscarriage.Post-procedure, she develops symptoms consistent with a septic embolism, requiring immediate antibiotic treatment and intensive monitoring.
Complete obstetric history, including details of the miscarriage, ultrasound findings showing retained products of conception, imaging studies (e.g., chest X-ray, CT scan) to confirm the presence of embolism, laboratory results (e.g., coagulation studies, blood gas analysis), and complete medical records documenting the diagnosis and treatment.
** This code should only be used in the mother's medical record.Never use this code on the newborn's record.It's crucial to accurately document the type of embolism experienced to ensure appropriate coding and reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Specialties:Obstetrics and Gynecology, Emergency Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Ambulatory Surgical Center