2025 ICD-10-CM code O26.31
Retained intrauterine contraceptive device in pregnancy, first trimester.
Medical necessity for IUD removal is based on the potential risks of complications, such as miscarriage, preterm labor, and infection, associated with retained IUDs during pregnancy.The patient's preference regarding continuation of the pregnancy is a crucial factor.
The clinician is responsible for evaluating the situation, discussing options with the patient, and potentially removing the IUD.This often involves ultrasound guidance and careful monitoring for potential complications like miscarriage or infection.
- Pregnancy, childbirth and the puerperium (O00-O9A)
- Other maternal disorders predominantly related to pregnancy (O20-O29)
In simple words: This code indicates that a woman is in her first three months of pregnancy and still has an IUD inside her uterus.
This code describes a situation where a woman is pregnant and still has an intrauterine contraceptive device (IUD) in place during her first trimester (less than 14 weeks).
Example 1: A 28-year-old woman presents for her first prenatal visit at 8 weeks gestation. During the examination, it's discovered she has a retained IUD. The physician discusses the risks and benefits of IUD removal with her and schedules the procedure., A 32-year-old woman at 10 weeks gestation is experiencing spotting.An ultrasound reveals a retained IUD.The IUD is removed under ultrasound guidance, and the patient is monitored for any signs of miscarriage., A 25-year-old woman discovers she is pregnant at 6 weeks gestation. She informs her physician that she has an IUD.The physician confirms the IUD placement via ultrasound and recommends removal.
Documentation should include confirmation of pregnancy, the type of IUD, the trimester of pregnancy, the decision regarding IUD removal (if any), method of removal (if removed), and any associated complications like bleeding or cramping. Ultrasound findings should also be documented.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Family Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital