ICD-10 Coding for Postpartum Hemorrhage(O72.0, O72.1, O72.2, O72.3, O67.8)
Complete ICD-10-CM coding and documentation guide for Postpartum Hemorrhage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Postpartum Hemorrhage
O72.0-O72.3Primary Range
Postpartum hemorrhage codes
These codes cover various types of postpartum hemorrhage, including immediate, delayed, and those with coagulation defects.
Excessive hemorrhage during cesarean delivery
This code is used for hemorrhage occurring during cesarean delivery.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O72.0 | Third-stage hemorrhage | Use when hemorrhage occurs before placental delivery. |
|
| O72.1 | Other immediate postpartum hemorrhage | Use for immediate PPH after placental delivery. |
|
| O72.2 | Delayed and secondary postpartum hemorrhage | Use for hemorrhage occurring 24+ hours postpartum. |
|
| O72.3 | Postpartum coagulation defects | Use when coagulation defects complicate PPH. |
|
| O67.8 | Excessive hemorrhage during cesarean delivery | Use for hemorrhage during cesarean delivery. |
|
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 postpartum hemorrhage
Essential facts and insights about Postpartum Hemorrhage
Primary ICD-10-CM Codes for postpartum hemorrhage
Decision Criteria
clinical Criteria
- Bleeding occurs before placental delivery
Applicable To
- Bleeding before placental delivery
Excludes
- Hemorrhage after placental delivery
Clinical Validation Requirements
- Documentation of bleeding during the third stage of labor
Code-Specific Risks
- Misclassification if bleeding occurs after placental delivery
Coding Notes
- Ensure documentation specifies timing relative to placental delivery.
O72.1 - Other immediate postpartum hemorrhage
Use for immediate PPH after placental delivery.
Applicable To
- Atonic uterus
- Laceration repair
Excludes
- Delayed postpartum hemorrhage
Clinical Validation Requirements
- Estimated blood loss ≥1,000 mL
- Documentation of uterine atony
Coding Notes
Ensure documentation specifies cause and timing of hemorrhage.
O72.2 - Delayed and secondary postpartum hemorrhage
Use for hemorrhage occurring 24+ hours postpartum.
Applicable To
- Bleeding occurring 24+ hours postpartum
Excludes
- Immediate postpartum hemorrhage
Clinical Validation Requirements
- Documentation of bleeding onset ≥24 hours postpartum
Coding Notes
Ensure documentation specifies timing of hemorrhage.
O72.3 - Postpartum coagulation defects
Use when coagulation defects complicate PPH.
Applicable To
- Disseminated intravascular coagulation
Clinical Validation Requirements
- Fibrinogen <200 mg/dL
- Prolonged PT/PTT
Coding Notes
Ensure coagulation studies are documented.
O67.8 - Excessive hemorrhage during cesarean delivery
Use for hemorrhage during cesarean delivery.
Applicable To
- Intraoperative blood loss >1,000 mL
Excludes
- Postpartum hemorrhage not during cesarean
Clinical Validation Requirements
- Documentation of blood loss during cesarean
Coding Notes
Ensure documentation specifies intraoperative timing.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Postpartum Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O72.0.
Impact
Clinical: Impacts treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for incorrect coding and billing.
Mitigation Strategy
Train staff on documentation standards., Use templates for consistency.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code O67.8 as primary for C-section hemorrhage >1,000 mL.
Impact
Reimbursement: Potential for incorrect DRG assignment., Compliance: Failure to adhere to coding standards., Data Quality: Misrepresentation of clinical scenario.
Mitigation Strategy
Query for exact timing and code O72.2 if applicable.
Impact
Inaccurate documentation of hemorrhage timing and cause.
Mitigation Strategy
Implement regular training and audits.
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 Postpartum Hemorrhage, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Postpartum Hemorrhage
Use these documentation templates to ensure complete and accurate documentation for Postpartum Hemorrhage. These templates include all required elements for proper coding and billing.
Immediate Postpartum Hemorrhage
Specialty: ObstetricsRequired Elements
- Estimated blood loss
- Cause of hemorrhage
- Interventions used
- Response to treatment
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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