ICD-10 Coding for Retained Placenta(O73.0, O72.0)
Complete ICD-10-CM coding and documentation guide for Retained Placenta. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Retained Placenta
O72-O73Primary Range
Postpartum hemorrhage and retained placenta
This range includes codes for retained placenta with and without hemorrhage, which are critical for accurate diagnosis and treatment documentation.
Other abnormal products of conception
This range is relevant for coding retained placenta following a missed abortion before fetal viability.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O73.0 | Retained placenta without hemorrhage | Use when the placenta remains in the uterus without hemorrhage after delivery. |
|
| O72.0 | Third-stage hemorrhage with retained placenta | Use when there is significant hemorrhage associated with retained placenta. |
|
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 retained placenta without hemorrhage
Essential facts and insights about Retained Placenta
Primary ICD-10-CM Codes for retained placenta
Decision Criteria
clinical Criteria
- No active bleeding and placenta retained >30 minutes
coding Criteria
- Use O73.0 only if no hemorrhage is documented
Applicable To
- Retained placenta without active bleeding
Excludes
- Retained placenta with hemorrhage (O72.0)
Clinical Validation Requirements
- No active bleeding
- Placenta undelivered >30 minutes after active management
- Stable vital signs
Code-Specific Risks
- Confusion with O72.0 if hemorrhage is not clearly documented
Coding Notes
- Ensure documentation specifies 'without hemorrhage' to avoid incorrect coding.
O72.0 - Third-stage hemorrhage with retained placenta
Use when there is significant hemorrhage associated with retained placenta.
Applicable To
- Retained placenta with active bleeding
Excludes
- Retained placenta without hemorrhage (O73.0)
Clinical Validation Requirements
- Active bleeding >500 mL
- Hemodynamic instability
Coding Notes
Ensure hemorrhage is documented to justify the use of O72.0.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Morbidly adherent placenta
O43.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Retained Placenta to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O73.0.
Impact
Clinical: Inaccurate clinical assessment, Regulatory: Non-compliance with coding guidelines, Financial: Potential claim denials
Mitigation Strategy
Always document estimated blood loss, Clarify hemorrhage presence or absence
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use O03-O06 series for retained products after abortion <24 weeks.
Impact
Failure to document hemorrhage can lead to incorrect coding.
Mitigation Strategy
Ensure all delivery notes include hemorrhage 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 Retained Placenta, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Retained Placenta
Use these documentation templates to ensure complete and accurate documentation for Retained Placenta. These templates include all required elements for proper coding and billing.
Retained placenta without hemorrhage
Specialty: ObstetricsRequired Elements
- Time since delivery
- Management type
- Hemorrhage status
- Procedure performed
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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