ICD-10 Coding for Threatened Miscarriage(O20.0)
Complete ICD-10-CM coding and documentation guide for Threatened Miscarriage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Threatened Miscarriage
O20-O29Primary Range
Other maternal disorders predominantly related to pregnancy
This range includes codes for conditions related to pregnancy, including threatened miscarriage.
Key Information: ICD-10 code for threatened miscarriage
Essential facts and insights about Threatened Miscarriage
Primary ICD-10-CM Code for threatened miscarriage
Decision Criteria
clinical Criteria
- Presence of vaginal bleeding with a closed cervix and viable pregnancy
coding Criteria
- Do not use with codes from O00-O08
Applicable To
- Threatened miscarriage
Excludes
- Completed abortion (O00-O08)
Clinical Validation Requirements
- Closed cervix
- Viable intrauterine pregnancy confirmed by ultrasound
Code-Specific Risks
- Misclassification with inevitable miscarriage if cervix is open
Coding Notes
- Ensure documentation specifies 'threatened miscarriage' with gestational age and ultrasound findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Inevitable abortion
O03.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Threatened Miscarriage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O20.0.
Impact
Clinical: Leads to misclassification of the condition., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Use specific terms like 'threatened miscarriage'., Include cervical status and ultrasound findings.
Impact
Reimbursement: Incorrect DRG assignment leading to potential payment errors., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use O03.0 for inevitable abortion if the cervix is open.
Impact
Using O20.0 for cases with open cervix or non-viable pregnancy.
Mitigation Strategy
Ensure thorough clinical documentation and review of ultrasound findings.
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 Threatened Miscarriage, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Threatened Miscarriage
Use these documentation templates to ensure complete and accurate documentation for Threatened Miscarriage. These templates include all required elements for proper coding and billing.
OB Triage for Vaginal Bleeding
Specialty: ObstetricsRequired Elements
- Gestational age
- Bleeding details
- Cervical exam
- Ultrasound results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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