2025 ICD-10-CM code O46
(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 - Antepartum hemorrhage Chapter 15: Pregnancy, childbirth and the puerperium Feed
Antepartum hemorrhage, not elsewhere classified.
Not applicable to ICD-10-CM codes.
Medical necessity for the coding will depend on the services provided to manage the antepartum hemorrhage.Documentation must support the clinical indication for the services provided. This could include stabilization of the patient, diagnostic testing, and treatment to prevent adverse outcomes.
The clinical responsibility for a patient with antepartum hemorrhage involves accurate diagnosis, monitoring, and treatment of the bleeding. This may include stabilizing the patient's condition, performing blood tests to assess clotting factors, and imaging studies (ultrasound) to identify the source of bleeding, as well as management of any complications such as anemia or shock.Delivery may be necessary depending on the severity and gestational age.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O46: Antepartum hemorrhage, not elsewhere classified; O46.0: Antepartum hemorrhage with coagulation defect; O46.8: Other antepartum hemorrhage; O46.9: Antepartum hemorrhage, unspecified
In simple words: Bleeding from the vagina during pregnancy before labor starts, when the exact reason for the bleeding isn't known or stated.
This code classifies antepartum hemorrhage (APH), which is bleeding from the vagina during pregnancy, before the onset of labor.It is a broad category that encompasses various causes of bleeding not specified elsewhere in the ICD-10-CM classification.This code should be used when the specific cause of the antepartum hemorrhage cannot be determined or is not specified in the medical record.
Example 1: A 28-year-old pregnant woman at 32 weeks gestation presents with vaginal bleeding. The cause of the bleeding is undetermined after a physical examination and ultrasound. Code O46 is assigned., A 35-year-old pregnant woman at 20 weeks gestation presents with vaginal bleeding and mild abdominal pain.Ultrasound reveals no placental abruption or previa.No specific cause for bleeding is identified. Code O46 is assigned., A 25-year-old pregnant woman at 16 weeks gestation reports vaginal spotting.The patient is stable, and the cause of the bleeding cannot be determined.Code O46 is assigned.
Complete and detailed medical records should include patient history, physical examination findings, lab results (including complete blood count and coagulation studies), imaging reports (ultrasound), and treatment notes.The documentation must support the clinical indication for the code assigned, justifying the use of O46 rather than a more specific code.
** The use of code O46 should be reserved only for instances where the cause of antepartum hemorrhage remains unidentified or unspecified after thorough investigation.Always attempt to use a more specific code if possible.
- Revenue Code: This will depend on the specific services provided and the payer.Refer to your payer's specific guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes. RVUs are used for procedure codes (CPT codes) and are determined by the type of procedure, location, and other factors. The payment for this diagnosis would be determined by the services rendered and the relative value units associated with those services.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Fee Schedule: Not applicable to ICD-10-CM codes.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Hospital, Birthing Center, Ambulatory Surgical Center