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2025 ICD-10-CM code O44.20

Partial placenta previa without hemorrhage, unspecified trimester.

Codes from Chapter 15 (Pregnancy, childbirth, and the puerperium) are used only on the maternal record, never on the newborn record. An additional code from category Z3A (Weeks of gestation) should be used to identify the specific week of pregnancy, if known.If the trimester is known, a more specific code from the O44.2x series is preferred.

Medical necessity for the management of this condition stems from the potential for complications such as hemorrhage, premature labor, and potential harm to the fetus. Close monitoring and appropriate interventions are necessary to ensure both maternal and fetal well-being.

The clinical responsibility for a patient with this diagnosis includes:* Monitoring maternal vital signs and fetal well-being.* Assessing and managing any bleeding episodes.* Educating the patient about the condition and necessary precautions.* Planning for delivery, including the possibility of cesarean section.

In simple words: The placenta is partially covering the opening of the womb, but there's no heavy bleeding at the moment. The stage of pregnancy (first, second, or third trimester) isn't specified.

Partial placenta previa without hemorrhage, unspecified trimester. This condition occurs when the placenta partially covers the internal opening of the cervix.It is specified as without hemorrhage, meaning there is no significant bleeding present currently.The trimester of the pregnancy is not specified.

Example 1: A pregnant woman in her second trimester presents for a routine ultrasound. The ultrasound reveals that the placenta is partially covering the internal os of the cervix, but no bleeding is noted. The patient is diagnosed with partial placenta previa without hemorrhage, unspecified trimester (O44.20)., A pregnant woman presents to the emergency room with mild cramping. An ultrasound examination reveals a partial placenta previa, but no active bleeding is present.The patient's gestational age is not documented in the record available at the time of coding. She is admitted for observation and diagnosed with O44.20., A woman at 30 weeks gestation experiences some mild spotting.An ultrasound shows a partial placenta previa without active bleeding. The provider documents the spotting, but not the specific trimester in their note. The code O44.20 is assigned because the documentation lacks the trimester detail.

Documentation should include ultrasound findings confirming the partial placenta previa, the absence of hemorrhage, and ideally, the gestational age or trimester.

** If the trimester of the pregnancy is documented, a more specific code (O44.21, O44.22, or O44.23) should be used. If there is any hemorrhage present, the codes from the O44.3x series should be used instead.Supervision of a normal pregnancy is coded Z34.- and is excluded from use with O44.20.

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