2025 ICD-10-CM code O44.52
Low-lying placenta with hemorrhage, second trimester.
Medical necessity is established by the presence of a low-lying placenta with hemorrhage, potentially endangering the mother and/or fetus.Treatment and management are medically necessary to prevent or address complications like significant blood loss, premature labor, or fetal distress.
Obstetricians and other healthcare professionals managing pregnancy are responsible for diagnosing and managing this condition.
In simple words: The placenta is positioned low in the uterus and is causing bleeding during the second trimester of pregnancy.
Low-lying placenta with hemorrhage during the second trimester of pregnancy (14 weeks 0 days to less than 28 weeks 0 days).
Example 1: A pregnant woman at 20 weeks gestation presents with vaginal bleeding. Ultrasound reveals a low-lying placenta. The bleeding is managed conservatively, and the patient is monitored for further complications., A pregnant woman at 16 weeks gestation experiences heavy vaginal bleeding and abdominal pain.Ultrasound shows a low-lying placenta with a large retroplacental hematoma. The patient requires hospitalization and blood transfusions. , A pregnant woman at 24 weeks gestation is found to have a low-lying placenta on a routine ultrasound. She is asymptomatic but is advised to avoid strenuous activity and to seek medical attention if bleeding occurs.
Documentation should include ultrasound findings confirming the low-lying placenta, the presence and extent of hemorrhage, associated symptoms (e.g., abdominal pain, cramping), fetal monitoring data, and treatment provided.
- Specialties:Obstetrics and Gynecology, Maternal-Fetal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Birthing Center