2025 ICD-10-CM code O43.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Maternal care related to the fetus and amniotic cavity and possible delivery problems - Placental disorders Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Malformation of the placenta.
Medical necessity is established through evidence of a placental malformation that is affecting fetal health or maternal well-being.This could involve ultrasonographic findings showing structural abnormalities and their correlation with observed clinical manifestations such as fetal distress, maternal hemorrhage, or other complications.
Obstetrician/Gynecologist
In simple words: This code means there's a problem with the shape or structure of the placenta, the organ that nourishes the baby during pregnancy.This could affect the baby's health and development and may require special medical attention.
This code signifies a structural abnormality in the placenta, the organ connecting the mother and fetus during pregnancy.This encompasses a wide range of deviations from the typical placental structure, impacting nutrient and gas exchange and potentially leading to complications for both mother and baby. The specific malformation needs further specification in the clinical documentation.
Example 1: A pregnant woman undergoes an ultrasound which reveals a placental abruption, specifically a partial detachment resulting in a malformation.This necessitates close monitoring and may lead to premature delivery. Code O43.1 is used to indicate the placental malformation., A patient presents with signs of fetal distress during labor.Further investigation shows that the placenta has a significant structural abnormality, causing impaired nutrient and oxygen exchange. O43.1 is used to report the placental malformation., Postpartum hemorrhage occurs after delivery, possibly attributed to a previously undiagnosed placental malformation hindering effective hemostasis. The presence of a placental malformation is documented post-delivery, and code O43.1 is used.
Detailed ultrasound images, fetal monitoring reports, and maternal vital signs are crucial.The clinical documentation should specify the type of placental malformation.If applicable, include any procedures performed such as surgical intervention or blood transfusion.
** This code should be used cautiously and only when a true malformation of the placenta is confirmed.Insufficient documentation may lead to coding errors.Always cross-reference with other relevant codes to fully capture the clinical picture.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office