In simple words: This code indicates a severe infection throughout the body following an incomplete miscarriage.

Sepsis following an incomplete spontaneous abortion, a condition where the products of conception are not completely expelled from the uterus.This code should be used on the maternal record only.

Example 1: A 28-year-old woman presents to the emergency room with fever, chills, and abdominal pain following an incomplete spontaneous abortion diagnosed one week prior. Blood cultures are positive for bacterial infection, confirming sepsis., A 35-year-old woman experiences heavy bleeding and cramping at 10 weeks gestation. She passes some tissue at home but continues to bleed heavily.She develops a fever and rapid heart rate and is admitted to the hospital with an incomplete abortion and sepsis. , A woman presents to her OB/GYN with retained products of conception following a spontaneous abortion.Despite appropriate initial management, she develops fever, hypotension, and altered mental status consistent with sepsis.She requires intensive care unit admission.

Documentation should include evidence of incomplete spontaneous abortion, such as ultrasound findings or histopathology reports.Documentation should also include clinical findings supporting the diagnosis of sepsis, such as fever, elevated heart rate, low blood pressure, and signs of organ dysfunction.Laboratory results, including blood cultures, should be documented. Documentation of weeks of gestation should be included using Z3A codes.

** This code describes a serious condition requiring prompt medical attention. Early diagnosis and treatment of sepsis is critical to improving outcomes.