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2025 ICD-10-CM code O26.853

Spotting complicating pregnancy during the third trimester.

Always use the most specific code available.Use additional codes to specify the week of gestation (Z3A.-) and any underlying conditions.Consult official ICD-10-CM guidelines for additional information.

No modifiers typically apply to ICD-10 codes.

Medical necessity for evaluation of spotting in late pregnancy is based on the potential for serious underlying conditions threatening the health of both the mother and the fetus.Prompt investigation is crucial to identify and manage these risks.

The clinical responsibility for managing a patient with O26.853 rests with the obstetrician/gynecologist. This entails a comprehensive assessment to identify the cause of the bleeding (e.g., placental abruption, placenta previa, or other conditions), monitoring the maternal and fetal well-being, and providing appropriate treatment.

IMPORTANT Depending on the underlying cause of the spotting, other codes may be necessary.For example, if the spotting is due to placenta previa, code O46.0 may be used in addition to O26.853.

In simple words: This code describes light bleeding during the final stage of pregnancy (after 28 weeks).It's important to see a doctor if you have any bleeding during pregnancy as it could indicate a problem.

This code signifies spotting (light vaginal bleeding) that occurs during the third trimester of pregnancy (28 weeks 0 days until delivery).It is a complication of pregnancy and requires further investigation to determine the underlying cause, which may range from benign to serious conditions impacting the mother and/or fetus.This code should only be used on the maternal record.

Example 1: A 35-year-old woman at 32 weeks gestation presents to the emergency department with light vaginal bleeding.The patient reports no pain or contractions.The physician orders an ultrasound, which reveals no evidence of placenta previa or abruption.The patient is monitored for several hours and discharged with instructions to report any changes in bleeding., A 28-year-old patient at 36 weeks gestation experiences light spotting after a routine vaginal exam.The physician determines that the spotting is minimal and related to the exam and reassures the patient. No additional workup is deemed necessary., A 40-year-old woman at 38 weeks gestation has a significant amount of vaginal bleeding. The physician determines the diagnosis as placental abruption. The patient is hospitalized immediately, and a cesarean delivery is performed to ensure the safety of both the mother and the baby. Codes for placental abruption and cesarean delivery would also be assigned.

Detailed patient history including onset, duration, amount, and color of the bleeding; presence of other symptoms (pain, contractions, etc.); results of any relevant investigations (e.g., ultrasound, blood tests); physician’s assessment and plan of care; gestational age.

** This code should only be used for light bleeding (spotting).Heavier bleeding should be coded differently based on the underlying cause. Always document the clinical findings to support the code selection.This information is current as of December 3, 2024.

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