ICD-10 Coding for Missed Abortion(O02.1)
Complete ICD-10-CM coding and documentation guide for Missed Abortion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Missed Abortion
O00-O08Primary Range
Pregnancy with abortive outcome
This range includes codes for various types of abortion, including missed abortion.
Key Information: ICD-10 code for missed abortion
Essential facts and insights about Missed Abortion
Primary ICD-10-CM Code for missed abortion
Decision Criteria
clinical Criteria
- Ultrasound shows no cardiac activity and closed os.
documentation Criteria
- Gestational age documented as <20 weeks.
Applicable To
- Retained products of conception without bleeding
Clinical Validation Requirements
- No cardiac activity on transvaginal ultrasound
- Closed cervical os
- Gestational age <20 weeks
Code-Specific Risks
- Incorrectly coding as incomplete abortion if os is open.
Coding Notes
- Ensure documentation specifies 'missed abortion' with ultrasound findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Missed Abortion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O02.1.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Use specific terms like 'missed abortion'., Ensure ultrasound findings are documented.
Impact
Reimbursement: May result in denied claims if incorrect code is used., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Verify cervical os status and use O02.1 if closed.
Impact
Lack of specific terms can lead to audit flags.
Mitigation Strategy
Ensure all clinical notes include specific ultrasound findings and cervical status.
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 Missed Abortion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Missed Abortion
Use these documentation templates to ensure complete and accurate documentation for Missed Abortion. These templates include all required elements for proper coding and billing.
Uncomplicated Missed Abortion
Specialty: ObstetricsRequired Elements
- Gestational age
- Ultrasound findings
- Cervical status
- Plan of care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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