2025 ICD-10-CM code O07
(Active) Effective Date: N/A Pregnancy Complications - Pregnancy with abortive outcome Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Failed attempted termination of pregnancy. Includes: failure of attempted induction of termination of pregnancy and incomplete elective abortion.
No specific information on applicable modifiers is available for this code. Modifier usage should be based on individual payer guidelines and specific clinical circumstances.
Medical necessity for subsequent interventions, such as repeat termination or continuation of prenatal care, should be documented based on the individual patient's circumstances and choices.
The clinician is responsible for documenting the attempted termination procedure, the reason for failure, and the ongoing management of the pregnancy.Further evaluation and counseling regarding options are crucial.
In simple words: The attempted termination of a pregnancy was unsuccessful.
Failed attempted termination of pregnancy.This code includes both the failure of an attempted induction of termination and an incomplete elective abortion where the pregnancy continues despite measures taken to terminate it.
Example 1: A patient presents for a medically induced termination of pregnancy in the first trimester. Despite administration of appropriate medications, follow-up ultrasound confirms ongoing cardiac activity, indicating the termination was unsuccessful. Code O07 is used., A patient undergoes a surgical termination of pregnancy.Post-procedure ultrasound shows retained products of conception, necessitating further intervention.As the initial attempt was unsuccessful, code O07 is assigned., A patient attempts self-managed medication abortion at home which was unsuccessful and seeks professional medical attention.Code O07 is used to document the failed attempt at termination of pregnancy.
Documentation should clearly state the method used for the attempted termination, evidence of ongoing pregnancy (e.g., ultrasound, hCG levels), and any complications arising from the failed procedure. The patient's decision regarding the ongoing management of the pregnancy should also be documented.
** It's crucial to distinguish between failed attempted termination and incomplete spontaneous abortion.O07 refers specifically to scenarios where an intentional intervention to terminate the pregnancy was unsuccessful.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital,Ambulatory Surgical Center, Office