2025 ICD-10-CM code O46.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Maternal care related to the fetus and amniotic cavity and possible delivery problems Chapter 15: Pregnancy, Childbirth and the Puerperium Feed
Antepartum hemorrhage with coagulation defect.
Modifiers may be applicable depending on the circumstances of the visit and services rendered. Consult the official CPT and modifier guidelines.Appropriate modifiers should accurately reflect the services provided and the place of service.
Medical necessity is established by the presence of both antepartum hemorrhage and a coagulation defect which together create a substantial risk to both the mother's and fetus's health. Timely diagnosis and treatment are critical to reduce morbidity and mortality risks.
Obstetricians, hematologists, and other specialists may be involved in the management of this condition, depending on the complexity of the case.The clinical responsibility encompasses diagnosing the hemorrhage and coagulation defect, managing the bleeding, stabilizing the patient, addressing potential fetal complications, and monitoring for and treating potential complications of the coagulation disorder.
In simple words: This code is for pregnant women who have bleeding before delivery and a blood clotting problem.
This ICD-10-CM code classifies antepartum hemorrhage (bleeding from the genital tract during pregnancy) complicated by a coagulation disorder (a defect in the blood's ability to clot).This signifies a serious obstetric complication requiring immediate medical attention due to the potential for significant maternal and fetal morbidity and mortality.The diagnosis requires confirmation of both antepartum hemorrhage and a concurrent coagulation defect.
Example 1: A 32-year-old pregnant woman at 28 weeks gestation presents with vaginal bleeding and is found to have a disseminated intravascular coagulation (DIC).She requires emergency intervention to manage the bleeding and correct the coagulation defect., A 25-year-old pregnant woman at 36 weeks gestation presents with vaginal bleeding and is diagnosed with von Willebrand disease which is exacerbating the hemorrhage. This patient requires close monitoring and management of both conditions., A 35-year-old pregnant woman with a history of Factor V Leiden (a hereditary clotting disorder) experiences antepartum hemorrhage at 20 weeks gestation. The hemorrhage is managed with blood transfusions and careful monitoring of the coagulation profile and fetal status.
Detailed documentation is crucial.This includes complete obstetric history, physical examination findings, laboratory results (complete blood count, coagulation studies, blood type and Rh factor), ultrasound findings (to assess fetal well-being and placental location), and details of any treatments administered. Documentation should clarify the type of coagulation defect and the severity of the hemorrhage.
** Careful consideration should be given to documenting the severity of both the hemorrhage and the coagulation disorder, as this will impact the selection of additional codes and the overall clinical picture. Always consult the latest ICD-10-CM guidelines for accurate coding.The clinical documentation must be sufficiently detailed to support the coding choices.
- Payment Status: Active
- Specialties:Obstetrics, Hematology, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office