ICD-10-CM Code O08.4

Renal failure following ectopic and molar pregnancy

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O08.4 is a billable code used to specify a medical diagnosis of renal failure following ectopic and molar pregnancy. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O08.4 might also be used to specify conditions or terms like acute renal failure following molar and/or ectopic pregnancy, oliguria following molar and/or ectopic pregnancy, renal failure after ectopic pregnancy, renal failure following molar and/or ectopic pregnancy, renal failure following molar pregnancy, renal tubular necrosis following molar and/or ectopic pregnancy, etc

The code O08.4 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:O08.4
Short Description:Renal failure following ectopic and molar pregnancy
Long Description:Renal failure following ectopic and molar pregnancy

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 O08.4:

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.
  • Kidney failure (acute) following ectopic and molar pregnancy
  • Oliguria following ectopic and molar pregnancy
  • Renal shutdown following ectopic and molar pregnancy
  • Renal tubular necrosis following ectopic and molar pregnancy
  • Uremia following ectopic and molar pregnancy

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 O08.4 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:

  • Acute renal failure following molar AND/OR ectopic pregnancy
  • Oliguria following molar AND/OR ectopic pregnancy
  • Renal failure after ectopic pregnancy
  • Renal failure following molar AND/OR ectopic pregnancy
  • Renal failure following molar pregnancy
  • Renal tubular necrosis following molar AND/OR ectopic pregnancy
  • Uremia following molar AND/OR ectopic pregnancy

Convert O08.4 to ICD-9

  • 639.3 - Postabort kidney failure

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Pregnancy with abortive outcome (O00-O08)
      • Complications following ectopic and molar pregnancy (O08)

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


Ectopic Pregnancy

The uterus, or womb, is the place where a baby grows when a woman is pregnant. If you have an ectopic pregnancy, the fertilized egg grows in the wrong place, outside the uterus, usually in the fallopian tubes. The result is usually a miscarriage.

Ectopic pregnancy can be a medical emergency if it ruptures. Signs of ectopic pregnancy include

  • Abdominal pain
  • Shoulder pain
  • Vaginal bleeding
  • Feeling dizzy or faint

Get medical care right away if you have these signs. Doctors use drugs or surgery to remove the ectopic tissue so it doesn't damage your organs. Many women who have had ectopic pregnancies go on to have healthy pregnancies later.

Dept. of Health and Human Services Office on Women's Health


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Kidney Failure

Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise. Your body may retain excess fluid and not make enough red blood cells. This is called kidney failure.

If your kidneys fail, you need treatment to replace the work they normally do. The treatment options are dialysis or a kidney transplant. Each treatment has benefits and drawbacks. No matter which treatment you choose, you'll need to make some changes in your life, including how you eat and plan your activities. But with the help of health care providers, family, and friends, most people with kidney failure can lead full and active lives.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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Tumors and Pregnancy

Tumors during pregnancy are rare, but they can happen. Tumors can be either benign or malignant. Benign tumors aren't cancer. Malignant ones are. The most common cancers in pregnancy are breast cancer, cervical cancer, lymphoma, and melanoma. Cancer itself rarely harms the baby, and some cancer treatments are safe during pregnancy. You and your health care provider will work together to find the best treatment. Your options will depend on how far along the pregnancy is, as well as the type, size, and stage of your cancer.

Another type of tumor that women can get is called a gestational trophoblastic disease (GTD). It happens when a fertilized egg doesn't become a fetus. GTD is not always easy to find. It is usually benign, but some types can be malignant. The most common type of GTD is a molar pregnancy. In its early stages, it may look like a normal pregnancy. You should see your health care provider if you have vaginal bleeding (not menstrual bleeding).

Treatment depends on the type of tumor, whether it has spread to other places, and your overall health.


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