ICD-10 Coding for Tubal Pregnancy(O00.1, O00.101, O00.102)
Complete ICD-10-CM coding and documentation guide for Tubal Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tubal Pregnancy
O00.1-O00.19Primary Range
Ectopic pregnancy in fallopian tube
This range covers all ICD-10 codes related to tubal pregnancies, including specific laterality and presence of intrauterine pregnancy.
Complications following ectopic and molar pregnancy
This range is used for coding complications associated with ectopic pregnancies, such as hemorrhage or shock.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O00.1 | Tubal pregnancy | Use when a tubal pregnancy is confirmed but laterality is not specified. |
|
| O00.101 | Right tubal pregnancy without intrauterine pregnancy | Use when the tubal pregnancy is confirmed on the right side without intrauterine pregnancy. |
|
| O00.102 | Left tubal pregnancy without intrauterine pregnancy | Use when the tubal pregnancy is confirmed on the left side without intrauterine pregnancy. |
|
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 tubal pregnancy
Essential facts and insights about Tubal Pregnancy
Primary ICD-10-CM Codes for tubal pregnancy
Decision Criteria
clinical Criteria
- Confirmed tubal pregnancy without specified laterality.
Applicable To
- Ectopic pregnancy in fallopian tube
Clinical Validation Requirements
- Transvaginal ultrasound showing empty uterus and adnexal mass
- Elevated β-hCG levels without intrauterine pregnancy
Code-Specific Risks
- Lack of specificity can lead to audits.
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
O00.101 - Right tubal pregnancy without intrauterine pregnancy
Use when the tubal pregnancy is confirmed on the right side without intrauterine pregnancy.
Applicable To
- Right-sided tubal ectopic pregnancy
Excludes
- Left tubal pregnancy (O00.102)
Clinical Validation Requirements
- Ultrasound confirming right adnexal mass
- Absence of intrauterine pregnancy
Coding Notes
Ensure laterality is confirmed through imaging.
O00.102 - Left tubal pregnancy without intrauterine pregnancy
Use when the tubal pregnancy is confirmed on the left side without intrauterine pregnancy.
Applicable To
- Left-sided tubal ectopic pregnancy
Excludes
- Right tubal pregnancy (O00.101)
Clinical Validation Requirements
- Ultrasound confirming left adnexal mass
- Absence of intrauterine pregnancy
Coding Notes
Ensure laterality is confirmed through imaging.
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 Tubal Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O00.1.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Increases audit risk., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure imaging reports specify laterality., Educate providers on documentation importance.
Impact
Reimbursement: May result in lower reimbursement due to unspecified coding., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Query provider for laterality or use O00.109 if truly unspecified.
Impact
Reimbursement: Missing complication codes can lead to underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Incomplete clinical picture.
Mitigation Strategy
Always check for and code any complications using O08.- codes.
Impact
Coding without specifying laterality can trigger audits.
Mitigation Strategy
Ensure documentation includes laterality or use unspecified code with justification.
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 Tubal Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tubal Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Tubal Pregnancy. These templates include all required elements for proper coding and billing.
Ruptured right tubal pregnancy with hemorrhage
Specialty: Obstetrics and GynecologyRequired Elements
- Patient history
- Ultrasound findings
- β-hCG levels
- Complications
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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