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

Teodor Jurukovski January 1, 1970

Fact checked by: Teodor Jurukovski

Use Code

Understanding Induced Abortion Complications

The ICD-11 code JA00.11 specifically denotes an induced abortion that is incomplete and complicated by delayed or excessive haemorrhage. This condition arises when a deliberate termination of pregnancy, whether medical or surgical, does not result in the complete expulsion of all pregnancy-related tissue from the uterus. The retained products of conception can lead to significant bleeding, which may be delayed in onset or excessively heavy.

Recognising Signs of Delayed or Excessive Bleeding

Patients experiencing complications from an incomplete induced abortion may present with several symptoms. These can include:

• Heavy vaginal bleeding, often more than expected after the procedure.
• Passing large blood clots.
• Persistent or severe abdominal pain and cramping.
• Signs of anaemia or shock if bleeding is substantial, such as dizziness, weakness, rapid heart rate, or low blood pressure.

Prompt medical attention is crucial if these symptoms occur.

Factors Leading to Incomplete Induced Abortion with Haemorrhage

An incomplete induced abortion with delayed or excessive haemorrhage can occur following various methods of pregnancy termination. While the exact cause can vary, it is often related to the incomplete removal of pregnancy tissue. Factors that may contribute include the specific procedure used (medical or surgical), the gestational age at the time of the abortion, or individual patient physiological responses. The presence of retained products of conception is the direct cause of the ongoing bleeding.

Diagnosing Complications Following Induced Abortion

The diagnosis of an incomplete induced abortion with delayed or excessive haemorrhage typically involves a combination of clinical assessment and diagnostic tests. Healthcare providers will review the patient's medical history, including details of the induced abortion procedure, and inquire about current symptoms. A physical examination may be performed, often including a pelvic exam. Diagnostic imaging, such as a transvaginal ultrasound, is frequently used to visualise the uterus and identify any retained pregnancy tissue. Blood tests may also be conducted to assess the extent of blood loss and check haemoglobin levels.

Medical and Surgical Management of Haemorrhagic Complications

Management of induced abortion complications like delayed or excessive haemorrhage focuses on controlling bleeding and ensuring complete removal of retained tissue. Treatment options may include:

• Medical management: This might involve administering medications, such as uterotonics, to help the uterus contract and expel any remaining tissue.
• Surgical management: Procedures like dilation and curettage (D&C) or vacuum aspiration may be necessary to remove retained products of conception.
• Supportive care: In cases of significant blood loss, intravenous fluids and blood transfusions may be required to manage anaemia and stabilise the patient.

The specific treatment approach will depend on the severity of the haemorrhage, the amount of retained tissue, and the patient's overall condition.

ICD-11 Coding for Induced Abortion Complications

Accurate medical coding is essential for billing, statistical tracking, and clinical documentation. The specific ICD-11 code for this condition is JA00.11, officially named Induced abortion, incomplete, complicated by delayed or excessive haemorrhage. This code is used to report instances where a patient experiences significant bleeding or a delayed bleeding episode following an induced abortion due to incomplete expulsion of pregnancy tissue. Proper documentation by healthcare providers is key to assigning this precise code, ensuring appropriate patient care and administrative processes.