2025 ICD-10-CM code O03
Spontaneous abortion.Includes: miscarriage
The medical necessity for treatment of a spontaneous abortion is established by the clinical presentation and the patient’s condition.Treatment aims to prevent or manage complications such as hemorrhage or infection.
The physician is responsible for diagnosing the spontaneous abortion, determining the completeness of the abortion, managing complications, and providing appropriate counseling and support to the patient.
In simple words: A miscarriage, which is the premature expulsion of a developing child from the womb.
Spontaneous abortion
Example 1: A woman in her first trimester presents with vaginal bleeding and cramping. Ultrasound confirms an empty gestational sac. This is diagnosed as a complete spontaneous abortion., A woman in her second trimester experiences heavy bleeding and abdominal pain.Ultrasound reveals a non-viable fetus and retained products of conception. This is classified as an incomplete spontaneous abortion., A woman presents with a missed abortion, where the fetus has died but has not been expelled from the uterus. She undergoes a dilation and curettage (D&C) procedure.
Documentation should include the patient's presenting symptoms, ultrasound findings, gestational age, management of the abortion (e.g., expectant management, medication, or surgical intervention), and any associated complications.
** Excludes1: supervision of normal pregnancy (Z34.-)
- Specialties:Obstetrics and Gynecology
- Place of Service:Office; Inpatient Hospital; Outpatient Hospital; Emergency Room - Hospital