O07.34
Damage to pelvic organs following failed attempted termination of pregnancy
Clinical Classification Guidelines
Inclusion Terms
- Laceration, perforation, tear or chemical damage of bladder following failed attempted termination of pregnancy
- Laceration, perforation, tear or chemical damage of bowel following failed attempted termination of pregnancy
- Laceration, perforation, tear or chemical damage of broad ligament following failed attempted termination of pregnancy
- Laceration, perforation, tear or chemical damage of cervix following failed attempted termination of pregnancy
- Laceration, perforation, tear or chemical damage of periurethral tissue following failed attempted termination of pregnancy
- Laceration, perforation, tear or chemical damage of uterus following failed attempted termination of pregnancy
- Laceration, perforation, tear or chemical damage of vagina following failed attempted termination of pregnancy
Medical Intelligence & Overview
ICD-10 code O07.34 refers to injuries to the pelvic organs that can occur following an unsuccessful attempt to terminate a pregnancy. Such injuries might involve the bladder, bowel, broad ligament, cervix, periurethral tissue, uterus, or vagina. These damages can result from procedures intended to end pregnancy but may lead to complications if not performed carefully or if complications arise during the process.
Causes & Symptoms
Clinical Causes: Inadequate procedural technique during termination procedures Use of surgical instruments that cause lacerations or perforations Chemical injury from substances used during abortion procedures Attempting termination without proper visualization or imaging guidance Patient-specific factors such as abnormal pelvic anatomy or prior surgeries Emergency or rushed procedures due to distressed circumstances
Key Symptoms: Pelvic pain or tenderness Abnormal vaginal bleeding or discharge Pain during urination or difficulty urinating Lower abdominal pain or cramping Signs of infection, such as fever or foul-smelling discharge Peritoneal signs like guarding or rebound tenderness if perforation leads to internal bleeding Unusual vaginal bleeding or bleeding disproportionate to the procedure Symptoms of urinary or bowel leakage if there is damage to adjacent organs
Diagnostic & Treatment
Diagnosis Path: Pelvic examination to identify signs of bleeding, trauma, or organ injury Ultrasound imaging to visualize internal pelvic structures and identify fluid collections or organ damage Cystography or cystoscopy if bladder injury is suspected Bowel imaging, such as contrast studies or CT scans, to evaluate bowel perforation Laparoscopy or laparotomy in complex or uncertain cases to directly visualize and repair injuries
Treatment Protocols: Stabilization of the patient with intravenous fluids and supportive care Surgical repair of lacerations, perforations, or tears in the affected organs Antibiotic therapy to prevent or treat infections Drainage of any accumulated fluid or blood In cases of extensive damage, repair may involve multiple surgical procedures or reconstruction Monitoring and follow-up care to ensure healing and prevent complications Counseling and support for emotional and physical recovery post-injury
Clinical Advice & FAQs
Billing Guidance
Is O07.34 a billable ICD-10 code?
Yes, O07.34 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O07.34?
Clinical documentation must specify the nature of Damage to pelvic organs following failed attempted termination of pregnancy and any associated comorbidities for accurate reporting.
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