O46.93
Antepartum hemorrhage, unspecified, third trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
Antepartum hemorrhage refers to bleeding from the genital tract occurring after the 28th week of pregnancy but before the birth. Specifically, the ICD-10 code O46.93 denotes an unspecified type of bleeding during the third trimester. This condition can be concerning for expecting mothers and requires careful medical evaluation to ensure the safety of both mother and baby. Proper understanding of this condition helps in recognizing symptoms and seeking timely medical care.
Causes & Symptoms
Clinical Causes: Placenta previa: when the placenta covers part or all of the cervix Placental abruption: premature separation of the placenta from the uterine wall Vasa previa: fetal blood vessels crossing the membranes ahead of the baby Uterine rupture: tear in the uterine wall Infections or inflammation affecting placental attachment Cervical or vaginal trauma due to intercourse or injury Polyhydramnios or amniotic sac abnormalities Underlying maternal medical conditions such as high blood pressure
Key Symptoms: Vaginal bleeding, ranging from light spotting to heavy bleeding Lower abdominal pain or cramps Back pain Uterine tenderness or rigidity Changes in fetal movement or distress signals Feelings of dizziness or weakness in the mother
Diagnostic & Treatment
Diagnosis Path: Diagnosing antepartum hemorrhage involves a combination of medical history review, physical examination, and diagnostic tests. Standard procedures include:
Treatment Protocols: Management strategies depend on the severity of bleeding, gestational age, and fetal condition. Typical approaches include:
Clinical Advice & FAQs
Billing Guidance
Is O46.93 a billable ICD-10 code?
Yes, O46.93 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O46.93?
Clinical documentation must specify the nature of Antepartum hemorrhage, unspecified, third trimester and any associated comorbidities for accurate reporting.
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