AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 2; Ask the Editor

Post Abortion Hemorrhage due to Uterine Atony

The patient is a 29-year-old who presents for an elective termination of pregnancy at 14 weeks due to septated fetal cystic hygroma and genetic testing consistent with Monosomy XO. Dilation and curettage is performed under ultrasound guidance. Intraoperatively, after suction curettage, uterine atony with bleeding was noted. Following bimanual uterine massage and the administration of Methergine® and Hemabate®, the uterine atony resolved. Code O72.1, Other immediate postpartum hemorrhage, does not appear to be the correct code since the hemorrhage occurred post abortion, not postpartum. How would uterine atony and hemorrhage during abortion be coded? ...

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