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2025 ICD-10-CM code O43.233

Placenta percreta, third trimester.This condition involves the abnormally deep attachment of the placenta through the uterine wall.

Code O43.233 is used only on the maternal record and never on the newborn record. If the specific week of gestation is known, use an additional code from category Z3A. Also code any associated postpartum hemorrhage (O72.0).

Medical necessity for treatment is based on the diagnosis of placenta percreta confirmed by imaging studies and the potential for life-threatening complications such as severe hemorrhage during delivery.

Obstetricians and maternal-fetal medicine specialists are primarily responsible for managing placenta percreta cases.They collaborate with other healthcare professionals to ensure optimal maternal and fetal outcomes.

In simple words: Placenta percreta is a serious pregnancy complication where the placenta grows too deeply into the uterine wall, occurring in the third trimester (after 28 weeks).

Placenta percreta, third trimester. Use additional code, if applicable, to identify associated third stage postpartum hemorrhage (O72.0).

Example 1: A 32-year-old pregnant woman in her third trimester is diagnosed with placenta percreta via ultrasound. She has a history of previous cesarean sections, which is a risk factor for this condition., A pregnant woman at 30 weeks gestation presents with vaginal bleeding and is found to have placenta percreta. She undergoes a planned cesarean hysterectomy due to the increased risk of severe hemorrhage., A woman with placenta percreta undergoes a cesarean delivery at 34 weeks. Despite efforts to control bleeding, she requires a blood transfusion and is closely monitored in the intensive care unit post-delivery.

Documentation should include ultrasound findings confirming placenta percreta, details of prior uterine surgeries (if any), estimated gestational age, and any associated complications such as hemorrhage.

** Placenta percreta is a rare but potentially life-threatening pregnancy complication. Accurate coding and documentation are crucial for appropriate management and resource allocation.

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