2025 ICD-10-CM code O44.1
(Active) Effective Date: N/A Revision Date: N/A Maternal care related to the fetus and amniotic cavity and possible delivery problems - Placenta previa Chapter 15: Pregnancy, childbirth and the puerperium Feed
Complete placenta previa with hemorrhage.
Modifiers may be applicable depending on the specific circumstances of the case and the services provided.Consult your local payer's guidelines for specifics.
Medical necessity for management of complete placenta previa with hemorrhage is established by the presence of vaginal bleeding, confirmed by ultrasound and clinical findings.The severity of the hemorrhage and the gestational age will determine the need for hospitalization, conservative management, or urgent intervention (Cesarean section).
Obstetricians and gynecologists are primarily responsible for managing complete placenta previa with hemorrhage.This involves careful monitoring of the mother's condition, managing bleeding, and determining the optimal timing and method of delivery (e.g., Cesarean section).Other specialists, such as hematologists or neonatologists, may be consulted depending on the complexity of the case.
In simple words: Complete placenta previa with bleeding means the placenta is covering the mother's cervix completely, causing bleeding. This diagnosis is only for the mother's medical record, not the baby's.
This code signifies complete placenta previa, a condition where the placenta completely covers the internal cervical os, accompanied by hemorrhage (bleeding).It's crucial to note that this diagnosis is exclusively for maternal records and should not be applied to newborn records.The trimester of pregnancy (first, second, or third) should be specified using an additional code from category Z3A, if known.This code excludes cases of labor and delivery complicated by hemorrhage from vasa previa (O69.4).
Example 1: A 35-year-old woman at 32 weeks gestation presents with vaginal bleeding.Ultrasound reveals complete placenta previa with moderate hemorrhage.The patient is admitted for close monitoring and ultimately undergoes a Cesarean section at 37 weeks to deliver a healthy infant., A 28-year-old woman at 20 weeks gestation experiences painless vaginal bleeding.Diagnosis of complete placenta previa with minimal hemorrhage is made via ultrasound.She is managed conservatively with bed rest and close monitoring, and the bleeding resolves spontaneously., A 40-year-old woman with a history of previous Cesarean section presents at 28 weeks with heavy vaginal bleeding and signs of maternal hypovolemia.Diagnosis of complete placenta previa with significant hemorrhage is made.Emergency Cesarean section is performed, but the mother requires blood transfusions due to significant blood loss.The infant is delivered prematurely but survives.
Detailed obstetrical history, including previous pregnancies and deliveries.Results of physical examination (vital signs, pelvic exam).Ultrasound findings confirming the diagnosis of complete placenta previa and the extent of hemorrhage.Laboratory results (complete blood count, coagulation studies).Documentation of treatment provided, including medications administered, blood transfusions, and surgical procedures.Postoperative care and recovery notes.
** This code should be used cautiously and only when supported by appropriate clinical documentation.The severity of the hemorrhage and the resulting maternal and fetal outcomes should be carefully documented.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center