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ICD-10 Coding for Placental Abruption(O45.0, O45.8, O45.9)

Complete ICD-10-CM coding and documentation guide for Placental Abruption. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Abruptio PlacentaePremature Separation of Placenta

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Related ICD-10 Code Ranges

Complete code families applicable to Placental Abruption

O45Primary Range

Premature separation of placenta

This range includes all codes related to placental abruption, specifying conditions such as coagulation defects and trimester.

P02.1

Fetus and newborn affected by premature separation of placenta

Used for fetal records in cases of fetal death due to placental abruption.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
O45.0Premature separation of placenta with coagulation defectUse when placental abruption is confirmed with a coagulation defect.
  • Coagulation studies showing INR >1.5
  • Fibrinogen level <200 mg/dL
O45.8Other premature separation of placentaUse when placental abruption is confirmed with unspecified coagulation disorder.
  • Elevated D-dimer >2500 ng/mL
O45.9Premature separation of placenta, unspecifiedUse when placental abruption is confirmed but lacks specific details.
  • Clinical diagnosis of placental abruption without specific details.

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for placental abruption

Essential facts and insights about Placental Abruption

The ICD-10 code for placental abruption is O45, with specific codes for cases involving coagulation defects.

Primary ICD-10-CM Codes for placental abruption

O45.0
Premature separation of placenta with coagulation defect
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of coagulation defect confirmed by lab tests.

Applicable To

  • Disseminated intravascular coagulation (DIC)
  • Hypofibrinogenemia

Excludes

  • Antepartum hemorrhage without placental separation (O46)

Clinical Validation Requirements

  • Coagulation studies showing INR >1.5
  • Fibrinogen level <200 mg/dL

Code-Specific Risks

  • Incorrectly coding without lab confirmation of coagulation defect.

Coding Notes

  • Ensure documentation specifies coagulation defect and gestational age.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Weeks of gestation

Z3A.xx
Used to specify the gestational age in weeks.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Antepartum hemorrhage

O46
Use O46 when bleeding occurs without confirmed placental separation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Placental Abruption to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O45.0.

Impact

Clinical: Inaccurate clinical records., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.

Mitigation Strategy

Always include Z3A.xx codes., Verify documentation completeness.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces the accuracy of health data.

Mitigation Strategy

Ensure documentation includes specific details such as coagulation defects and trimester.

Impact

Failure to document coagulation defects can lead to audit discrepancies.

Mitigation Strategy

Ensure all lab results are included in the patient's record.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Placental Abruption, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Placental Abruption

Use these documentation templates to ensure complete and accurate documentation for Placental Abruption. These templates include all required elements for proper coding and billing.

Placental abruption with coagulation defect

Specialty: Obstetrics

Required Elements

  • Patient history
  • Clinical findings
  • Lab results
  • Imaging studies

Example Documentation

32yo G2P1 at 34w2d with acute onset of dark vaginal bleeding and severe abdominal pain. Uterine tenderness, firm, non-relaxing. FHR 140 with variable decelerations. 4x5 cm retroplacental hematoma. Fibrinogen 180 mg/dL, platelets 90k. Assessment: Placental abruption with coagulopathy, 34 weeks gestation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Placental abruption suspected.
Good Documentation Example
Acute onset of dark vaginal bleeding with board-like uterus, retroplacental clot confirmed on ultrasound, fibrinogen 150 mg/dL.
Explanation
The good example provides specific clinical findings and lab results supporting the diagnosis.

Need help with ICD-10 coding for Placental Abruption? Ask your questions below.

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