2025 ICD-10-CM code O20
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Other maternal disorders predominantly related to pregnancy Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Hemorrhage in early pregnancy (before 20 weeks gestation).
Not applicable to ICD-10 codes.
The medical necessity for coding O20 is established by the presence of vaginal bleeding during early pregnancy.Further evaluation is needed to determine the cause and appropriate management.
Obstetrician/Gynecologist (OB/GYN) or other qualified healthcare professional managing the pregnancy.
- Pregnancy, childbirth and the puerperium (O00-O9A)
- O20-O29 (Other maternal disorders predominantly related to pregnancy)
In simple words: This code is used when a pregnant woman has bleeding before the 20th week of pregnancy.It doesn't include miscarriages or other pregnancy losses.
This code classifies hemorrhage occurring before the completion of 20 weeks of gestation.It encompasses bleeding episodes during early pregnancy, excluding pregnancy with an abortive outcome (O00-O08).
Example 1: A 12-week pregnant patient presents to the emergency department with vaginal bleeding.After evaluation, the bleeding is determined to be due to a subchorionic hematoma. Code O20 is assigned., A 16-week pregnant patient experiences heavy vaginal bleeding and is diagnosed with a placental abruption.Because the bleeding occurred before 20 weeks, code O20 is used., A 18-week pregnant patient reports light vaginal spotting, identified as cervical ectropion during a routine examination.While not a significant hemorrhage, if the physician documents bleeding, O20 would be considered.
* Detailed history of the bleeding episode (onset, duration, amount, associated symptoms).* Physical examination findings.* Results of relevant investigations (ultrasound, blood tests).* Treatment provided.* Gestational age at the time of bleeding.
** Code O20 should be used only when the hemorrhage occurs before 20 weeks of gestation.Always document the gestational age at the time of bleeding.Additional codes might be necessary to specify the cause and severity of the hemorrhage.
- Revenue Code: Revenue codes will vary depending on the services provided and the payer. Consult your payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes. Reimbursement is determined by the procedures and services provided, which would utilize CPT codes.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.Reimbursement is based on the services provided, which are coded using CPT or HCPCS codes.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Hospital, Emergency Room