ICD-10-CM Code O03.4

Incomplete spontaneous abortion without complication

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O03.4 is a billable code used to specify a medical diagnosis of incomplete spontaneous abortion without complication. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O03.4 might also be used to specify conditions or terms like incomplete inevitable miscarriage without complication, incomplete miscarriage, inevitable miscarriage, inevitable miscarriage incomplete, readmission for retained products of conception, spontaneous abortion, retained fetal tissue, etc

The code O03.4 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:O03.4
Short Description:Incomplete spontaneous abortion without complication
Long Description:Incomplete spontaneous abortion without complication

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O03.4 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Incomplete inevitable miscarriage without complication
  • Incomplete miscarriage
  • Inevitable miscarriage
  • Inevitable miscarriage incomplete
  • Readmission for retained products of conception, spontaneous abortion
  • Retained fetal tissue
  • Retained products after miscarriage

Convert O03.4 to ICD-9

  • 634.91 - Spon abort uncompl-inc (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Pregnancy with abortive outcome (O00-O08)
      • Spontaneous abortion (O03)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Miscarriage

A miscarriage is an unexpected loss of pregnancy before the 20th week of pregnancy. Most miscarriages happen very early in the pregnancy, often before a woman even knows she is pregnant.

Factors that may contribute to miscarriage include

  • A genetic problem with the fetus
  • Problems with the uterus or cervix
  • Chronic diseases, such as polycystic ovary syndrome

Signs of a miscarriage include vaginal spotting, abdominal pain or cramping, and fluid or tissue passing from the vagina. Bleeding can be a symptom of miscarriage, but many women also have it in early pregnancy and don't miscarry. To be sure, contact your health care provider right away if you have bleeding.

Women who miscarry early in their pregnancy usually do not need any treatment. In some cases, there is tissue left in the uterus. Doctors use a procedure called a dilatation and curettage (D&C) or medicines to remove the tissue.

Counseling may help you cope with your grief. Later, if you do decide to try again, work closely with your health care provider to lower the risks. Many women who have a miscarriage go on to have healthy babies.

NIH: National Institute of Child Health and Human Development


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