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2025 ICD-10-CM code O08.8

This code captures complications arising after an ectopic or molar pregnancy that don't fit into more specific categories.

Use additional codes, as needed, to describe any comorbidities or other relevant diagnoses.Always ensure the code selection accurately reflects the patient's clinical presentation and the complications experienced.This code is for use on maternal records only.

Medical necessity is established by documenting the presence of a complication directly resulting from or directly related to an ectopic or molar pregnancy.The complication must necessitate medical intervention or pose a significant risk to the patient's health.Documentation should support the clinical decision-making process for the treatment provided.

Obstetrician-gynecologist or other qualified healthcare provider managing the patient's post-ectopic/molar pregnancy care.

IMPORTANT:Consider other O08 codes (e.g., O08.0-O08.7) if a more specific complication is identified.Additional codes from category Z3A (Weeks of gestation) can be used if the gestational age is known.

In simple words: This code is for problems that happen after a pregnancy outside the womb (ectopic pregnancy) or a type of pregnancy that doesn't develop normally (molar pregnancy).It's used when the problem doesn't fit into other, more specific categories. The doctor will specify exactly what the problem was.

O08.8, "Other complications following an ectopic and molar pregnancy," is an ICD-10-CM code used to classify various complications that develop after an ectopic pregnancy or molar pregnancy.These complications are not explicitly categorized under other, more specific O08 codes.This code is used for maternal records only, not for newborns.The code should be used in conjunction with other codes, as appropriate, to fully describe the situation. It's crucial to document the specific complication(s) experienced by the patient.Examples may include, but are not limited to, less common or unspecified complications.

Example 1: A 32-year-old female presents with persistent abdominal pain and fever 2 weeks post-surgical management of a ruptured ectopic pregnancy.She is diagnosed with a pelvic abscess and requires intravenous antibiotics.The code O08.8 is used to capture this complication., A 28-year-old woman experiences severe hypotension and tachycardia following a complete molar pregnancy evacuation.She is diagnosed with hemorrhagic shock requiring blood transfusion and intensive care. O08.8 would be assigned for this complication not otherwise specified., A 35-year-old patient undergoes a dilation and curettage (DC) for a complete hydatidiform mole.Post-procedure, she develops a pulmonary embolism (PE), requiring anticoagulant therapy.While PE has a specific code (I26), O08.8 is also assigned to capture the relationship to the molar pregnancy.

Detailed medical history pertaining to the ectopic or molar pregnancy, including treatment received, clinical findings (e.g., vital signs, physical exam), laboratory results (e.g., blood counts, cultures), imaging reports (e.g., ultrasound, CT scan), and the specific complication diagnosed and its treatment.Documentation should demonstrate medical necessity for the assigned code.

** This code is a residual category and should only be used when no other specific O08 code applies.It’s important to use the highest level of specificity possible when coding complications following ectopic and molar pregnancies.Always refer to the most current ICD-10-CM guidelines for accurate coding practices.The use of this code may influence reimbursement decisions by payers.

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