ICD-10-CM Billable Code

O43.232

Placenta percreta, second trimester

Clinical Classification Guidelines

Medical Intelligence & Overview

Placenta percreta is a severe pregnancy complication where the placenta invades through the uterine wall and potentially into surrounding organs. When this occurs during the second trimester, it poses significant risks for both the mother and the developing fetus. Recognized under ICD-10 code O43.232, this condition requires prompt medical attention and careful management to prevent serious health issues.

Causes & Symptoms

Clinical Causes: Previous cesarean delivery or other uterine surgeries Multiple prior pregnancies Placenta previa (placenta covering the cervix) Advanced maternal age Uterine abnormalities such as fibroids or scar tissue In-vitro fertilization (IVF) and assisted reproductive techniques

Key Symptoms: Vaginal bleeding during pregnancy, often painless Abdominal pain or tenderness Rapid uterine growth compared to gestational age Signs of uterine rupture in severe cases Hemorrhagic shock if bleeding is significant

Diagnostic & Treatment

Diagnosis Path: Diagnosing placenta percreta involves a combination of clinical evaluation and imaging studies. Healthcare providers may utilize:

Treatment Protocols: Management of placenta percreta during the second trimester depends on the severity of the condition and the health of the mother and fetus. Treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is O43.232 a billable ICD-10 code?
Yes, O43.232 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O43.232?
Clinical documentation must specify the nature of Placenta percreta, second trimester and any associated comorbidities for accurate reporting.

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