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2025 ICD-10-CM code O04.7

Embolism following induced termination of pregnancy.

This code should be used only on the maternal record, never on the newborn record.It is used to code complications related to or aggravated by the pregnancy, childbirth, or the puerperium.

The medical necessity for the treatment of the embolism is inherent in the life-threatening nature of the condition.

The physician is responsible for diagnosing and managing the embolism, which may involve stabilizing the patient, administering anticoagulants or thrombolytics, and providing supportive care.Consultation with specialists, such as a pulmonologist or hematologist, might be necessary.

In simple words: This code indicates a serious complication after an induced abortion where a blockage has occurred in a blood vessel, potentially due to air, amniotic fluid, a blood clot, fat, or other substances.

This code encompasses various types of embolisms, including air, amniotic fluid, blood clot, fat, pulmonary, pyemic, septic, septicopyemic, and soap embolisms, occurring as a complication after an induced termination of pregnancy.

Example 1: A 25-year-old woman undergoes a surgical abortion at 10 weeks gestation. Two days later, she presents to the emergency room with sudden shortness of breath and chest pain. A CT scan reveals a pulmonary embolism, coded as O04.7., A 30-year-old woman experiences an amniotic fluid embolism during a medically induced abortion at 12 weeks, requiring immediate critical care management. This is coded as O04.7., A woman experiences a septic embolism following an induced abortion, confirmed by blood cultures and imaging studies, which is coded as O04.7.

Documentation should include details of the induced abortion procedure, the time of embolism onset, diagnostic tests confirming the embolism (e.g., CT scan, ultrasound, blood tests), and treatment provided.

** The code O04.7 describes a specific complication (embolism) following an induced termination of pregnancy, and not the procedure itself.Z33.2 (encounter for elective termination of pregnancy, uncomplicated) or O07.- (failed attempted termination of pregnancy) are used for the procedure itself depending on if it was completed or not.

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