AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor

Spontaneous Abortion with Retained Placenta of Twin B

A patient arrived at the Emergency Department (ED) with vaginal bleeding at 18 to 19 weeks gestation and had a spontaneous vaginal delivery of twin A, in the ED. Upon the initial assessment in Labor and Delivery, twin B had heart tones, but expulsed spontaneously within the next few minutes. The placenta of twin A was removed intact without complication. The placenta of twin B was difficult to extract manually and remained in utero. Due to postpartum hemorrhage and retained placenta, a suction curettage was performed with removal of the remaining placenta. What are the diagnosis and procedure code assignments for this case? ...

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