ICD-10 Code O45.092

Also called: Clotting disorders

Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should.

Bleeding disorders can be the result of other diseases, such as severe liver disease or a lack of vitamin K. They can also be inherited. Hemophilia is an inherited bleeding disorder. Bleeding disorders can also be a side effect of medicines such as blood thinners.

Various blood tests can check for a bleeding disorder. You will also have a physical exam and history. Treatments depend on the cause. They may include medicines and transfusions of blood, platelets, or clotting factor.

• Bleeding disorders (Medical Encyclopedia)
• Bleeding time (Medical Encyclopedia)
• Disseminated intravascular coagulation (DIC) (Medical Encyclopedia)
• Partial thromboplastin time (PTT) (Medical Encyclopedia)
• Prothrombin time (PT) (Medical Encyclopedia)

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

• Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
• Problems with the umbilical cord
• Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
• Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.

• Assisted delivery with forceps (Medical Encyclopedia)
• Brachial plexus injury in newborns (Medical Encyclopedia)
• Breech birth (Medical Encyclopedia)
• Caput succedaneum (Medical Encyclopedia)
• Meconium aspiration syndrome (Medical Encyclopedia)
• Premature rupture of membranes (Medical Encyclopedia)

Every pregnancy has some risk of problems. You may have problems because of a health condition you had before you got pregnant. You could also develop a condition during pregnancy. Other causes of problems during pregnancy can include being pregnant with more than one baby, a health problem in a previous pregnancy, substance abuse during pregnancy, or being over age 35. Any of these can affect your health, the health of your baby, or both.

If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Some common conditions that can complicate a pregnancy include

• High blood pressure
• Polycystic ovary syndrome
• Kidney problems
• Autoimmune disorders
• Obesity
• HIV/AIDS
• Cancer
• Infections

Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.

Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your health care provider if something is bothering or worrying you.

• Bed rest during pregnancy (Medical Encyclopedia)
• Hydramnios (Medical Encyclopedia)
• Hyperemesis gravidarum (Medical Encyclopedia)
• Insufficient cervix (Medical Encyclopedia)
• Placenta abruptio (Medical Encyclopedia)
• Placenta abruptio (Medical Encyclopedia)
• Placenta previa (Medical Encyclopedia)
• Vaginal bleeding in early pregnancy (Medical Encyclopedia)
• Vaginal bleeding in late pregnancy (Medical Encyclopedia)
• Vaginal bleeding in pregnancy (Medical Encyclopedia)

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

• Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
• No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
• Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.