ICD-10-CM Code O03.81

Valid for Submission

O03.81 is a billable code used to specify a medical diagnosis of shock following complete or unspecified spontaneous abortion. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O03.81 might also be used to specify conditions or terms like complete miscarriage or complete miscarriage with shock or miscarriage complicated by shock or miscarriage with postoperative shock.

The code O03.81 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.

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O03.81:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

• Circulatory collapse following complete or unspecified spontaneous abortion
• Shock (postprocedural) following complete or unspecified spontaneous abortion

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

• shock due to infection following complete or unspecified spontaneous abortion O03.87

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 O03.81 are found in the index:

• - Abortion (complete) (spontaneous) - O03.9
  • - complicated (by) (following) - O03.80
    • - circulatory collapse - O03.81
    • - shock - O03.81

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:

• Complete miscarriage
• Complete miscarriage with shock
• Miscarriage complicated by shock
• Miscarriage with postoperative shock

Convert O03.81 to ICD-9

• 634.50 - Spon abort w shock-unsp (Approximate Flag)
• 634.52 - Spon abort w shock-comp (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

Tools

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• Convert O03.81 to ICD-9