ICD-11 Codes
for JA00.00 - Spontaneous abortion, incomplete, complicated by genital tract or pelvic infection

Teodor Jurukovski January 1, 1970

Fact checked by: Teodor Jurukovski

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How Is This Condition Diagnosed?

Diagnosing spontaneous abortion, incomplete, complicated by genital tract or pelvic infection involves a thorough medical evaluation. Healthcare providers will consider the patient's medical history, including details about the pregnancy and any symptoms experienced. Clinical examination may be performed. In some cases, measurement of the beta subunit of human chorionic gonadotropin (hCG) may be utilised to assess pregnancy status. The primary goal of diagnosis is to confirm the presence of retained pregnancy tissue and identify any associated infection.

Understanding Spontaneous Abortion, Incomplete, Complicated by Genital Tract or Pelvic Infection

The ICD-11 code JA00.00 refers to a specific obstetric complication: spontaneous abortion, incomplete, complicated by genital tract or pelvic infection. This diagnosis signifies that a pregnancy has ended spontaneously before 22 completed weeks of gestation, with some pregnancy tissue remaining within the uterus. Crucially, this is accompanied by an infection affecting the genital organs or pelvic tissues. This condition is distinct from a complete spontaneous abortion where all pregnancy tissue has been expelled.

Documentation and Coding for ICD-11 Code JA00.00

Accurate medical coding is essential for billing and record-keeping. The official ICD-11 code for spontaneous abortion, incomplete, complicated by genital tract or pelvic infection is JA00.00. When documenting this condition, healthcare professionals should clearly indicate that the abortion was spontaneous and incomplete, and that a genital tract or pelvic infection was present. This specific code ensures precise identification of the patient's condition for clinical and administrative purposes. Related codes may be used to provide further detail on the abortion itself or the specific type of infection, if applicable.

Recognising the Signs and Symptoms of Complicated Incomplete Abortion

Patients experiencing spontaneous abortion, incomplete, complicated by genital tract or pelvic infection may present with several key signs and symptoms. These typically include moderate to severe vaginal bleeding and the noticeable passage of pregnancy tissue. Lower abdominal cramping and pelvic pain are also common. Additionally, symptoms indicative of pelvic inflammatory disease (PID) may arise, such as significant pelvic or lower abdominal pain, unusual or heavy vaginal discharge with a potential foul odour, fever, chills, and pain during sexual intercourse. Difficult or painful urination can also occur.

Management of Incomplete Abortion with Genital Tract or Pelvic Infection

The management of spontaneous abortion, incomplete, complicated by genital tract or pelvic infection focuses on two primary goals: the removal of any remaining pregnancy tissue and the treatment of the infection. Treatment strategies may involve medical interventions or surgical procedures to ensure the uterus is cleared. Antibiotic therapy is a critical component for addressing the infection. Prompt medical attention is advised for individuals experiencing severe symptoms, such as intense abdominal pain, high fever, persistent nausea and vomiting, or foul-smelling vaginal discharge, as these can indicate a serious complication requiring urgent care.

Factors Contributing to Incomplete Abortion with Infection

Several factors can contribute to the development of spontaneous abortion, incomplete, complicated by genital tract or pelvic infection. The presence of residual pregnancy or placental tissue within the uterus after a miscarriage is a primary factor. Pathogens can infect this retained tissue, leading to inflammation of the genital organs or pelvic structures. The risk of infection can be heightened if a patient has a pre-existing sexually transmitted disease, such as chlamydia, gonorrhea, mycoplasma, or bacterial vaginosis, prior to the abortion event.