PREGNANCY AND RELATED DISORDERS (1) Missed abortion: (fetal death < 20 wks) Spontaneous abortion (complete miscarriage – O03): Genital or pelvic infection (O03.5) Delayed or excessive hemorrhage (O03.6) Incomplete spontaneous abortion (O03.3) complications: Shock (-.31), cardiac arrest (-.36), sepsis (-.37) Induced termination of pregnancy complications: Genital or pelvic infection (O04.5), delayed or excessive hemorrhage (O04.6) and other (O04.8…) Ectopic or molar pregnancy complications: Genital or pelvic infection (O08.0), delayed or excessive hemorrhage (O08.1) and other (O08.8…) 36
PREGNANCY AND RELATED DISORDERS (2) Pre-eclampsia (O14.0 to O14.1) – usually hypertension and proteinuria Eclapsia (O15) – seizure added Hyperemesis gravidarum (O21.0 - O21.9) Superficial (O22.2) and Deep (O22.3) Thrombophlebitis Hemorrhoids of pregnancy (O22.4) 37
PREGNANCY AND RELATED DISORDERS (3) Infection of kidney (O23.0+), bladder (O23.1+) Delivery and its complications - rare in ED Post-partum hemorrhage (O72) Full-term uncomplicated delivery (O80) Puerperal infections: Surgical wound (O86.0); UTI (O86.2); venous complications – thrombophlebitis superficial (O87.0) and deep (O87.1) 38
PREGNANCY AND RELATED DISORDERS (4*) Obstetric embolism: air (O88.0), amniotic fluid (O88.1), thromboembolism (O88.2) Infections of breast during pregnancy (O91.+) Injury, poisoning, and external causes complicating pregnancy, childbirth, and puerperium (O9A.2) Physical (O9A.3+), sexual (O9A.4+), and psychological (O9A.5+) abuse 39
40 PART SIX. . . Continuation of review of pertinent chapters for emergency medicine ICD-10 code choice Part 6 will cover Chapters 16, 17 and 18
THANK YOU 41
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- Fall '16
- Professor M. Vargas
- Ectopic pregnancy, Code, Unaware