2025 ICD-10-CM code O07.37
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetric - Pregnancy with abortive outcome Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Sepsis following a failed attempted termination of pregnancy.
The medical necessity for coding O07.37 is established by the presence of sepsis, a life-threatening condition, following an attempted termination of pregnancy. Documentation should clearly support the diagnosis of sepsis and its causal relationship to the procedure.
Obstetrician-gynecologist, infectious disease specialist
In simple words: This code is used when a woman develops a serious infection (sepsis) after a doctor tries but fails to end her pregnancy.The doctor will use extra codes to identify the germ causing the infection and whether the infection is severe.
This code signifies sepsis occurring as a complication after an unsuccessful attempt to terminate a pregnancy.It includes cases of failed attempted induction or termination of pregnancy and incomplete elective abortions.Additional codes (B95-B97) should be used to specify the infectious agent, and code R65.2- should be used if severe sepsis is present.This code excludes septic or septicopyemic embolism following a failed attempted termination of pregnancy (O07.2).
Example 1: A 25-year-old woman presents with fever, chills, and abdominal pain following an unsuccessful attempt at a medication abortion. Cultures reveal Escherichia coli. Codes O07.37 and A41.51 are assigned., A 30-year-old woman undergoes a surgical abortion that results in incomplete removal of fetal tissue. She develops postpartum sepsis caused by Streptococcus agalactiae. Codes O07.37 and A40.1 are assigned., A 19-year-old woman experiences a failed attempt at inducing labor. She develops severe sepsis due to an unidentified organism. Codes O07.37 and R65.2 are assigned, with further investigation needed to identify the specific infectious agent.
Complete history and physical examination, including details of the attempted termination of pregnancy; laboratory results (complete blood count, blood cultures, urine cultures, etc.); imaging studies (ultrasound, CT scan, etc.) as clinically indicated; documentation of vital signs, organ system assessment and sepsis criteria.
** This code should be used cautiously and only when a clear causal link between the attempted termination of pregnancy and the subsequent sepsis is established.Thorough documentation is crucial for appropriate coding and reimbursement.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Infectious Disease
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital