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ICD Hub / Pregnancy, childbirth or the puerperium (O00–O9A) / JA00.06 - Spontaneous abortion, complete or unspecified, complicated by delayed or excessive haemorrhage
ICD-11

ICD-11 Codes
for JA00.06 - Spontaneous abortion, complete or unspecified, complicated by delayed or excessive haemorrhage
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Spontaneous Abortion with Haemorrhage (ICD-11 Code JA00.06)

The ICD-11 code JA00.06 represents a spontaneous abortion, specifically a complete or unspecified type, that is complicated by delayed or excessive bleeding. This occurs when embryonic or fetal death happens before 22 weeks of gestation, or products of conception are passed before this point, and is accompanied by significant haemorrhage that is either delayed in onset or excessive in volume. This condition requires careful medical assessment and management.

Signs and Symptoms of Complicated Spontaneous Abortion

Patients experiencing a spontaneous abortion complicated by delayed or excessive haemorrhage may present with several signs. These can include vaginal bleeding that is heavier than a normal period, bleeding that starts later than expected after the initial signs of abortion, or bleeding that continues for an extended period. Other symptoms might include abdominal cramping or pain, passage of tissue or clots from the vagina, and in cases of excessive blood loss, symptoms of anaemia or shock such as dizziness, weakness, or a rapid heartbeat.

Factors Contributing to Spontaneous Abortion with Haemorrhage

The exact cause of spontaneous abortion can be complex, but factors contributing to this complication can include immunological issues, abnormalities of the ovum or uterus, maternal diseases, infections, or cervical incompetence. While the specific type of spontaneous abortion is complete or unspecified in JA00.06, the complication of delayed or excessive haemorrhage necessitates prompt medical attention. Identifying and managing underlying risk factors is crucial for patient care.

Diagnosing Spontaneous Abortion Complicated by Haemorrhage

Diagnosis of spontaneous abortion complicated by delayed or excessive haemorrhage (JA00.06) typically involves a combination of clinical evaluation, physical examination, and diagnostic tests. Healthcare providers will assess symptoms such as vaginal bleeding and cramping. Pelvic examinations may be performed. Ultrasound imaging is often used to determine if all products of conception have been expelled and to assess the uterine lining. Blood tests may be conducted to check for anaemia or infection, and to monitor hormone levels like hCG.

Coding and Documentation for JA00.06

Accurate documentation is essential for correct medical coding. When a patient presents with a spontaneous abortion that is complete or unspecified and complicated by delayed or excessive haemorrhage, the ICD-11 code JA00.06 should be used. This code specifically captures the type of abortion and the complication of significant bleeding. Healthcare providers should clearly document the details of the abortion, the timing and severity of the haemorrhage, and any associated findings to support the use of this specific ICD-11 code for billing and record-keeping purposes.

Seeking Medical Attention for Abortion Complications

Any instance of vaginal bleeding during early pregnancy, especially if it is heavy, prolonged, or accompanied by severe pain, should prompt immediate medical attention. Patients experiencing symptoms suggestive of a spontaneous abortion complicated by delayed or excessive haemorrhage should contact a healthcare provider or go to an emergency department without delay. Prompt evaluation and management are critical to address the bleeding and prevent further complications.

Frequently asked questions

What is classified under ICD-11 code JA00.06?
JA00.06 classifies a spontaneous abortion, which is a loss of pregnancy before 22 completed weeks of gestation, that is either complete or unspecified in its completeness, and is complicated by delayed or excessive haemorrhage.
How is spontaneous abortion defined in ICD-11?
In ICD-11, spontaneous abortion, also referred to as miscarriage, is defined as a spontaneous loss of pregnancy (embryo or fetus) before 22 completed weeks of gestation. It is distinct from induced abortions.
What does the 'complete or unspecified' designation mean for JA00.06?
The 'complete or unspecified' designation in JA00.06 refers to the status of the spontaneous abortion. 'Complete' indicates that all products of conception have been expelled. 'Unspecified' is used when the documentation does not specify if the abortion was complete or incomplete, but the complication of delayed or excessive haemorrhage is present.
What is the specific complication associated with ICD-11 code JA00.06?
The specific complication associated with ICD-11 code JA00.06 is delayed or excessive haemorrhage.
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