ICD-11 Codes
for JA00.01 - Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage

Teodor Jurukovski January 1, 1970

Fact checked by: Teodor Jurukovski

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Understanding Spontaneous Abortion, Incomplete, Complicated by Delayed or Excessive Haemorrhage

This condition, identified by ICD-11 code JA00.01, refers to a spontaneous loss of pregnancy before 22 completed weeks of gestation where not all products of conception have been expelled from the uterus. It is specifically complicated by bleeding that is either delayed in onset or excessive in amount. This means that after the initial event of pregnancy loss, there is a significant and potentially dangerous level of blood loss, or bleeding that continues for an extended period.

Signs and Symptoms of Incomplete Abortion with Haemorrhage

Patients experiencing spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage (JA00.01) typically present with noticeable vaginal bleeding. This bleeding can be heavy, requiring frequent pad changes, or it may be prolonged. The passage of blood clots, sometimes large, is also common. Alongside bleeding, individuals often experience lower abdominal or pelvic pain and cramping. In cases of excessive haemorrhage, signs of hypovolemia such as dizziness, rapid heart rate, or lightheadedness may occur.

Diagnosing Incomplete Abortion with Haemorrhage

The diagnosis of spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage (JA00.01) is primarily made through a combination of clinical assessment and imaging. A medical history will focus on symptoms like vaginal bleeding and pain. A physical examination may reveal an open cervical os with visible products of conception. Pelvic ultrasound is crucial for visualising retained tissue within the uterus, confirming the incomplete expulsion and assessing the extent of bleeding or retained material.

Managing Incomplete Abortion with Excessive Bleeding

Management for spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage (JA00.01) focuses on controlling the bleeding and ensuring complete evacuation of the uterus. Treatment options may include expectant management (allowing the body to expel remaining tissue naturally), medical management (using medications to induce contractions and expulsion), or surgical intervention (such as dilation and curettage or vacuum aspiration). The choice of treatment depends on the severity of haemorrhage, the patient's haemodynamic stability, and individual circumstances. Prompt medical attention is vital to prevent complications like haemorrhagic shock.

Alternative Terms for JA00.01

This condition, coded as JA00.01 in ICD-11, is also known by several other clinical terms. These include:

• Incomplete miscarriage with heavy bleeding
• Spontaneous abortion with excessive blood loss
• Incomplete pregnancy loss with haemorrhage
• Abortion, incomplete, with delayed or excessive haemorrhage

ICD-11 Coding for Incomplete Abortion with Haemorrhage

For accurate medical record-keeping and billing, the ICD-11 code JA00.01 should be used to denote spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage. This specific code captures both the incomplete nature of the miscarriage and the significant bleeding complication. It falls under the broader category of Abortive outcome of pregnancy (JA00-JA0Z). Proper documentation of the clinical findings, including the extent of bleeding and retained products of conception, is essential for correct coding.