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2025 ICD-10-CM code O43.22

Placenta increta.This condition involves the chorionic villi extending into the myometrium.

Code O43.22 should only be used on the maternal record, never on the newborn record.It should be used in conjunction with a code from category Z3A (Weeks of gestation) to specify the week of pregnancy if known. If associated postpartum hemorrhage occurs, code O72.0 should also be assigned. The appropriate 7th character should be added to indicate the trimester.

Medical necessity for treatment of placenta increta is established by the diagnosis itself, as it presents a significant risk of severe hemorrhage and other life-threatening complications for the mother. Treatment typically involves a cesarean delivery, often accompanied by a hysterectomy to control bleeding.

Obstetricians and Gynecologists (OB/GYNs) are primarily responsible for diagnosing and managing placenta increta during pregnancy and childbirth.Other specialists may be involved depending on the severity of the case and resulting complications.

In simple words: Placenta increta is a serious pregnancy complication where the placenta grows too deeply into the mother's uterus.

Placenta increta is a condition in which the placenta attaches abnormally deeply into the uterine wall, specifically extending into the myometrium (the muscular layer of the uterus).It is considered a severe form of morbidly adherent placenta and can result in significant complications during and after delivery.

Example 1: A 35-year-old woman with a history of a previous cesarean section presents for her scheduled repeat cesarean delivery. During the procedure, the obstetrician discovers that the placenta has abnormally adhered to the uterine wall, extending into the myometrium. The diagnosis of placenta increta is made., A woman in her third trimester experiences heavy vaginal bleeding. Ultrasound reveals the presence of placenta increta. Due to the high risk of hemorrhage, a multidisciplinary team is assembled to plan a cesarean hysterectomy., During a routine ultrasound, a pregnant woman is found to have a low-lying placenta with suspected invasion into the myometrium.Further imaging confirms the diagnosis of placenta increta. The patient is counseled about the potential risks and complications associated with this condition and delivery options are discussed.

Documentation for placenta increta should include ultrasound findings demonstrating the depth of placental invasion into the myometrium. Operative reports should detail the intraoperative findings, procedures performed (e.g., cesarean hysterectomy, uterine artery embolization), and estimated blood loss. Postpartum notes should describe the patient's recovery and any complications experienced.

** Placenta increta is a potentially life-threatening condition that requires careful management by a healthcare professional.Early diagnosis through routine prenatal ultrasounds is important for planning appropriate interventions. This information is current as of December 1, 2024.

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