2025 ICD-10-CM code O43.23
(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
Placenta percreta is a serious pregnancy complication where the placenta grows too deeply into the uterine wall.
The medical necessity for treatment of placenta percreta is established by the diagnosis, the high risk of life-threatening hemorrhage, and the need for intervention to safeguard the life and health of the mother.The severity of the condition warrants the interventions used.
Obstetricians and gynecologists manage placenta percreta, often involving a multidisciplinary team (hematologists, anesthesiologists, surgeons) for comprehensive care, including diagnosis, surgical planning (e.g., hysterectomy), and postpartum monitoring.
In simple words: Placenta percreta is a problem during pregnancy where the placenta (the organ that nourishes the baby) grows too deeply into the mother's uterus. This can cause dangerous bleeding during delivery.
Placenta percreta is a condition in which the placenta invades the myometrium (the muscular layer of the uterus) and may extend beyond the uterus, potentially involving adjacent organs.This deep invasion can lead to significant complications during delivery, including severe hemorrhage (bleeding), requiring potentially life-saving interventions. It is a subtype of morbidly adherent placenta, encompassing placenta accreta and placenta increta.
Example 1: A 35-year-old woman at 36 weeks gestation presents with painless vaginal bleeding. Ultrasound reveals placenta percreta with invasion into the bladder. A multidisciplinary team plans for a cesarean hysterectomy., A 28-year-old patient with a history of prior cesarean delivery is diagnosed with placenta percreta at 28 weeks gestation.She is closely monitored for bleeding and potential complications; a planned cesarean delivery with hysterectomy is scheduled for 34 weeks., A 40-year-old woman with placenta percreta undergoes emergency cesarean hysterectomy at 32 weeks due to severe antepartum hemorrhage.Postoperative management includes blood transfusions and close monitoring for infection.
Ultrasound images confirming the diagnosis, operative reports detailing the surgical procedure (including hysterectomy if performed), pathology reports confirming the diagnosis, and any records of blood transfusions or other interventions.
** This is a severe condition with significant maternal morbidity and mortality risk.Careful documentation is crucial for accurate coding and reimbursement.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center