O45 - ICD-10-CM Premature separation of placenta [abruptio placentae] (2024)

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Premature separation of placenta [abruptio placentae]

O45 is a non-billable ICD-10 code for Premature separation of placenta [abruptio placentae]. It should not be used for HIPAA-covered transactionsas a more specific code is available to choose from below.

↓ See below for any exclusions, inclusions or special notations

More specific codes:

A more specific code should be selected. ICD-10-CM codes are to be used and reported at their highest number of characters available.A 3-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7th character, if applicable.

Select Billable Codes to view only billable codes under O45 or select the Tabular List to view all codes under O45 in hierarchical order.

  • Billable Codes
  • Tabular List

Listed below are all Medicare Accepted ICD-10 codes under O45 for Premature separation of placenta [abruptio placentae]. These codes can be used for all HIPAA-covered transactions.

  • Billable - O45.001 Premature separation of placenta with coagulation defect, unspecified, first trimester
  • Billable - O45.002 Premature separation of placenta with coagulation defect, unspecified, second trimester
  • Billable - O45.003 Premature separation of placenta with coagulation defect, unspecified, third trimester
  • Billable - O45.009 Premature separation of placenta with coagulation defect, unspecified, unspecified trimester
  • Billable - O45.011 Premature separation of placenta with afibrinogenemia, first trimester
  • Billable - O45.012 Premature separation of placenta with afibrinogenemia, second trimester
  • Billable - O45.013 Premature separation of placenta with afibrinogenemia, third trimester
  • Billable - O45.019 Premature separation of placenta with afibrinogenemia, unspecified trimester
  • Billable - O45.021 Premature separation of placenta with disseminated intravascular coagulation, first trimester
  • Billable - O45.022 Premature separation of placenta with disseminated intravascular coagulation, second trimester
  • Billable - O45.023 Premature separation of placenta with disseminated intravascular coagulation, third trimester
  • Billable - O45.029 Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester
  • Billable - O45.091 Premature separation of placenta with other coagulation defect, first trimester
  • Billable - O45.092 Premature separation of placenta with other coagulation defect, second trimester
  • Billable - O45.093 Premature separation of placenta with other coagulation defect, third trimester
  • Billable - O45.099 Premature separation of placenta with other coagulation defect, unspecified trimester
  • Billable - O45.8X1 Other premature separation of placenta, first trimester
  • Billable - O45.8X2 Other premature separation of placenta, second trimester
  • Billable - O45.8X3 Other premature separation of placenta, third trimester
  • Billable - O45.8X9 Other premature separation of placenta, unspecified trimester
  • Billable - O45.90 Premature separation of placenta, unspecified, unspecified trimester
  • Billable - O45.91 Premature separation of placenta, unspecified, first trimester
  • Billable - O45.92 Premature separation of placenta, unspecified, second trimester
  • Billable - O45.93 Premature separation of placenta, unspecified, third trimester

The codes listed below are in tabular order from O45. Codes marked as Billable can be used in all HIPAA-covered transactions.

  • O45.0 Premature separation of placenta with coagulation defect
    • O45.00 Premature separation of placenta with coagulation defect, unspecified
    • O45.01 Premature separation of placenta with afibrinogenemia
    • O45.02 Premature separation of placenta with disseminated intravascular coagulation
    • O45.09 Premature separation of placenta with other coagulation defect
  • O45.8 Other premature separation of placenta
    • O45.8X Other premature separation of placenta
  • O45.9 Premature separation of placenta, unspecified
    • O45.90 Premature separation of placenta, unspecified, unspecified trimester Billable
    • O45.91 Premature separation of placenta, unspecified, first trimester Billable
    • O45.92 Premature separation of placenta, unspecified, second trimester Billable
    • O45.93 Premature separation of placenta, unspecified, third trimester Billable

Coding structure:

ICD-10 code O45 is based on the following Tabular structure:

Chapter 15: Pregnancy, childbirth and the puerperium

  • Section O30-O48: Maternal care related to the fetus and amniotic cavity and possible delivery problems
    • Category O45: Premature separation of placenta [abruptio placentae]

O45_____

Category

Etiology, Anatomic Site,
Severity, Other Vital Details

Extension

Section O30-O48Maternal care related to the fetus and amniotic cavity and possible delivery problems

  1. O45 Premature separation of placenta [abruptio placentae]

    1. O45.0 Premature separation of placenta with coagulation defect

      1. O45.00 Premature separation of placenta with coagulation defect, unspecified

        • O45.001 Premature separation of placenta with coagulation defect, unspecified, first trimester
        • O45.002 Premature separation of placenta with coagulation defect, unspecified, second trimester
        • O45.003 Premature separation of placenta with coagulation defect, unspecified, third trimester
        • O45.009 Premature separation of placenta with coagulation defect, unspecified, unspecified trimester
      2. O45.01 Premature separation of placenta with afibrinogenemia

        Inclusion term(s):

        • Premature separation of placenta with hypofibrinogenemia
        • O45.011 Premature separation of placenta with afibrinogenemia, first trimester
        • O45.012 Premature separation of placenta with afibrinogenemia, second trimester
        • O45.013 Premature separation of placenta with afibrinogenemia, third trimester
        • O45.019 Premature separation of placenta with afibrinogenemia, unspecified trimester
      3. O45.02 Premature separation of placenta with disseminated intravascular coagulation

        • O45.021 Premature separation of placenta with disseminated intravascular coagulation, first trimester
        • O45.022 Premature separation of placenta with disseminated intravascular coagulation, second trimester
        • O45.023 Premature separation of placenta with disseminated intravascular coagulation, third trimester
        • O45.029 Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester
      4. O45.09 Premature separation of placenta with other coagulation defect

        • O45.091 Premature separation of placenta with other coagulation defect, first trimester
        • O45.092 Premature separation of placenta with other coagulation defect, second trimester
        • O45.093 Premature separation of placenta with other coagulation defect, third trimester
        • O45.099 Premature separation of placenta with other coagulation defect, unspecified trimester
    2. O45.8 Other premature separation of placenta

      1. O45.8X Other premature separation of placenta

        • O45.8X1 Other premature separation of placenta, first trimester
        • O45.8X2 Other premature separation of placenta, second trimester
        • O45.8X3 Other premature separation of placenta, third trimester
        • O45.8X9 Other premature separation of placenta, unspecified trimester
    3. O45.9 Premature separation of placenta, unspecified

      Inclusion term(s):

      • Abruptio placentae NOS
      1. O45.90 Premature separation of placenta, unspecified, unspecified trimester

      2. O45.91 Premature separation of placenta, unspecified, first trimester

      3. O45.92 Premature separation of placenta, unspecified, second trimester

      4. O45.93 Premature separation of placenta, unspecified, third trimester

Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.

This note further define, or give examples of, the content of the code or category.

List of terms is included under some codes. 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.

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first, if applicable, followed by the manifestation.Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code.These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

A type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note indicates that the code excluded should never be used at the same timeas the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

A type 2 Excludes note represents 'Not included here'. An Excludes2 note indicates that the condition excluded is not part of the condition it is excluded frombut a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.

A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.The sequencing depends on the circ*mstances of the encounter.

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first, if applicable, followed by the manifestation.Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code.These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

O45 - ICD-10-CM Premature separation of placenta [abruptio placentae] (2024)
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