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ICD-10 Coding for Retroplacental Clot(O45.0XX, O45.8XX)

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

Also known as:

Placental AbruptionRetroplacental Hematoma

Related ICD-10 Code Ranges

Complete code families applicable to Retroplacental Clot

O45Primary Range

Premature separation of placenta

This range includes all codes related to placental abruption, which is the primary condition associated with retroplacental clots.

Postpartum coagulation defects

Used when coagulation defects persist postpartum, often associated with placental abruption.

Other placental disorders

Covers other placental conditions that may be confused with or accompany retroplacental clots.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
O45.0XXPremature separation of placenta with coagulation defectUse when there is a confirmed coagulation defect associated with the placental abruption.
  • Fibrinogen <200 mg/dL
  • Platelets <100K/μL
  • Pathology report confirming retroplacental clot
O45.8XXOther premature separation of placentaUse when placental abruption occurs without coagulation defects.
  • Ultrasound showing retroplacental mass
  • Pathology report confirming clot without coagulation defect

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 retroplacental clot

Essential facts and insights about Retroplacental Clot

The ICD-10 code for a retroplacental clot is primarily O45.0XX if associated with a coagulation defect, or O45.8XX if not.

Primary ICD-10-CM Codes for diagnonosis retroplacental clot

Premature separation of placenta with coagulation defect
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of coagulation defect confirmed by lab tests.

documentation Criteria

  • Pathology report confirming retroplacental clot.

Applicable To

  • Placental abruption with DIC
  • Placental abruption with afibrinogenemia

Excludes

Clinical Validation Requirements

  • Fibrinogen <200 mg/dL
  • Platelets <100K/μL
  • Pathology report confirming retroplacental clot

Code-Specific Risks

  • Incorrectly coding without confirming coagulation defect
  • Missing documentation of fibrinogen levels

Coding Notes

  • Ensure documentation specifies the presence of coagulation defects and trimester.

Ancillary Codes

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

Postpartum coagulation defects

O72.3
Use if DIC persists post-delivery.

Differential Codes

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

Placental infarction

O43.81
Use if no retroplacental clot but infarcts are present.

Placenta previa

O44.XX
Use if bleeding originates from the lower uterine segment.

Documentation & Coding Risks

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

Impact

Clinical: Inaccurate clinical records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for incorrect billing and reimbursement.

Mitigation Strategy

Always include trimester in documentation., Use templates that prompt for trimester information.

Impact

Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Always document and code the specific trimester and presence of coagulation defects.

Impact

Failure to document coagulation defects can lead to audit issues.

Mitigation Strategy

Ensure all lab results and pathology reports 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 Retroplacental Clot, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Retroplacental Clot

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

Acute placental abruption with DIC

Specialty: Obstetrics

Required Elements

  • Retroplacental hematoma size
  • Presence of parenchymal compression
  • Coagulation status

Examples: Poor vs. Good Documentation

Poor Documentation Example
Placenta shows blood clot.
Good Documentation Example
Retroplacental hematoma (4.2 cm) compressing 30% of placental parenchyma, with intravillous hemorrhage and acute infarction.
Explanation
The good example provides specific details about the clot's size, location, and impact, which are necessary for accurate coding.

Need help with ICD-10 coding for Retroplacental Clot? Ask your questions below.

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