2025 ICD-10-CM code O03.7
Embolism following a complete or unspecified spontaneous abortion.
Medical necessity for this code is established by the presence of a confirmed embolism following a complete or unspecified spontaneous abortion. The medical record should clearly demonstrate the signs, symptoms, and diagnostic findings that support the diagnosis of both the abortion and the subsequent embolism.
The physician is responsible for diagnosing the type of embolism and providing appropriate treatment, which may include anticoagulants, oxygen, and supportive care. They must also manage the completed or unspecified spontaneous abortion.
In simple words: This code indicates that a pregnant woman who had a miscarriage (either complete or unspecified) developed a dangerous blockage in a blood vessel, which can be caused by various substances like air, amniotic fluid, a blood clot, fat, or other materials.This is a serious complication.
This code signifies an embolism complicating a complete or unspecified spontaneous abortion.Types of embolisms include air, amniotic fluid, blood clot, fat, pulmonary, pyemic, septic, and soap embolisms.
Example 1: A woman at 10 weeks gestation presents with heavy bleeding and cramping.She passes the products of conception, and the abortion is deemed complete.She subsequently develops shortness of breath and chest pain and is diagnosed with a pulmonary embolism., A woman at 15 weeks gestation experiences a spontaneous abortion. The type of abortion is unspecified.She later develops altered mental status and seizures and is found to have an amniotic fluid embolism., A 35-year-old female patient with an unknown gestational age had a spontaneous abortion and developed an embolism of an unspecified nature in her leg leading to pain and swelling. She was found to have deep vein thrombosis (DVT), a type of blood clot embolism, and began treatment with anticoagulants.
Documentation should include the type of abortion (complete or unspecified), the type of embolism, evidence supporting the diagnosis of embolism (e.g., imaging studies, clinical findings), and treatment provided.The weeks of gestation should also be documented using a Z3A code.
** This code represents a serious complication of spontaneous abortion.Prompt diagnosis and treatment are essential for optimal patient outcomes.If the patient had an incomplete abortion, codes from the O03.0-O03.4 range should be used rather than the O03.5 - O03.9 range.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Emergency Medicine, Critical Care Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital