O46.02
Antepartum hemorrhage with disseminated intravascular coagulation
Clinical Classification Guidelines
Medical Intelligence & Overview
Antepartum hemorrhage with disseminated intravascular coagulation (DIC) is a serious pregnancy complication characterized by abnormal bleeding during pregnancy due to a blood clotting disorder. This condition involves heavy bleeding during pregnancy combined with widespread activation of the blood clotting system, leading to clotting factors being used up, which can cause bleeding elsewhere. Recognizing this condition early and understanding its features is crucial for expectant mothers and healthcare providers to manage risks effectively.
Causes & Symptoms
Clinical Causes: Placental abruption (early separation of the placenta from the uterine wall) Preeclampsia or eclampsia (high blood pressure conditions during pregnancy) Severe infections during pregnancy Amniotic fluid embolism Heavy bleeding from other obstetric complications Uterine rupture or trauma Multiple pregnancies (twins, triplets, etc.) with complications Underlying clotting disorders
Key Symptoms: Heavy vaginal bleeding during pregnancy Signs of shock such as rapid heartbeat, low blood pressure, and dizziness Excessive bruising or bleeding from minor cuts Signs of organ dysfunction, including confusion or abdominal pain Signs of clot formation such as swelling and pain in limbs Fever or signs of infection in some cases
Diagnostic & Treatment
Diagnosis Path: Diagnosing antepartum hemorrhage with DIC involves a combination of clinical assessment and laboratory testing. Healthcare providers typically evaluate the patient's symptoms, medical history, and perform blood tests to measure clotting factors and platelet levels. Tests may include:
Treatment Protocols: Management of this condition aims to control bleeding, correct coagulation abnormalities, and address the underlying cause. Treatment strategies may include:
Clinical Advice & FAQs
Billing Guidance
Is O46.02 a billable ICD-10 code?
Yes, O46.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O46.02?
Clinical documentation must specify the nature of Antepartum hemorrhage with disseminated intravascular coagulation and any associated comorbidities for accurate reporting.
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