2025 ICD-10-CM code O45.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Maternal care related to the fetus and amniotic cavity and possible delivery problems - Premature separation of placenta Chapter 15: Pregnancy, childbirth and the puerperium Feed
Premature separation of the placenta from the uterine wall before childbirth, accompanied by a coagulation disorder.
Medical necessity for treatment is established by the presence of significant maternal and/or fetal compromise. The severity of the condition may range from mild bleeding and uterine tenderness to severe hemorrhage and fetal distress, necessitating emergency intervention.Treatment is aimed at preserving maternal and fetal health.
Obstetricians and gynecologists are primarily responsible for the management and treatment of patients with this condition.This includes monitoring the mother's vital signs, assessing fetal well-being, managing blood loss, and providing appropriate medical interventions based on the severity of the case.Other healthcare professionals such as hematologists may be involved in managing the coagulation defect.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O00-O9A: Pregnancy, childbirth and the puerperium > O30-O48: Maternal care related to the fetus and amniotic cavity and possible delivery problems > O45: Premature separation of placenta [abruptio placentae]
In simple words: This code describes a serious pregnancy complication where the placenta separates from the uterine wall too early, often causing bleeding and potentially harming both the mother and the baby.There is also a blood clotting problem present.
This code signifies premature separation of the placenta from the uterine wall before the onset of labor.The condition is characterized by the detachment of the placenta from its normal implantation site, often resulting in significant maternal and fetal complications.A defining feature of O45.0 is the presence of a concurrent coagulation defect, such as disseminated intravascular coagulation (DIC), hypofibrinogenemia, afibrinogenemia, or hyperfibrinolysis.The separation can cause hemorrhage, which may lead to fetal distress or death.The severity of the condition can range from mild to life-threatening for both the mother and the fetus.
Example 1: A 36-year-old woman at 32 weeks gestation presents to the emergency department with severe abdominal pain and vaginal bleeding.She is diagnosed with abruptio placentae with DIC.Emergency cesarean section is performed., A 28-year-old woman at 24 weeks gestation is found to have a small amount of vaginal bleeding with mild uterine tenderness.Coagulation studies reveal hypofibrinogenemia. Close monitoring is instituted, and expectant management is chosen., A 40-year-old woman at 38 weeks gestation develops significant vaginal bleeding with severe abdominal pain and signs of fetal distress.She is diagnosed with abruptio placentae, and an immediate cesarean section is performed.Postpartum, she is treated for DIC.
Detailed obstetrical history, including prenatal care, risk factors for abruptio placentae (e.g., hypertension, preeclampsia, cocaine use, trauma), gestational age, maternal vital signs, amount and characteristics of vaginal bleeding, assessment of fetal well-being (e.g., fetal heart rate monitoring), laboratory results (e.g., complete blood count, coagulation studies), findings from physical examination, description of the management and intervention, and postpartum course.
** This code is used to report a serious complication of pregnancy that can have life-threatening consequences for both mother and baby.Accurate documentation is crucial for appropriate medical management and reimbursement.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Hematology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center