Clinical scenario and ICD-10 diagnosis

Clinical scenario	ICD-10 diagnosis
Clinical scenario	Code	Definition
Complete EPL: Complete spontaneous passage of gestational tissue.	O03.9*	Complete or unspecified spontaneous abortion without complication
Incomplete EPL: Ultrasound or other evidence of retained pregnancy tissue, with history of or ongoing vaginal bleeding. No cardiac activity or other evidence of viability.	O03.4*	Incomplete spontaneous abortion without complication
Incomplete EPL: Fetal or embryonic demise has occurred, and gestational tissue remains in the uterus. Typically with little or no vaginal bleeding and evidence that the nonviable gestation has remained in the uterus for a period of time	O02.1	Missed abortion
Vaginal bleeding with evidence of embryonic or fetal viability, such as fetal cardiac activity.	O20.0	Threatened abortion

ICD: International Statistical Classification of Diseases and Related Health Problems, 10th revision; EPL: early pregnancy loss.
* Refer to ICD-10 for coding when complications are present.

Courtesy of Sarah Prager, MD, MAS, Elizabeth Micks, MD, MPH, and Vanessa Dalton, MD, MPH.

Graphic 120361 Version 3.0

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Clinical scenario and ICD-10 diagnosis