Subchorionic Hemorrhage ICD-10-CM Codes | 2023
Discover the appropriate ICD-10 codes for accurately documenting subchorionic hemorrhage, essential for medical billing and coding.
Fact Checked by RJ Gumban.
What ICD-10 Codes are Used for Subchorionic Hemorrhage?
Subchorionic hemorrhage (SCH) is characterized by the accumulation of blood between the chorion, a membrane surrounding the embryo, and the uterine wall. The following ICD-10 codes are commonly used to document SCH:
- O20.8 - Other specified hemorrhage in early pregnancy: Utilized for cases with bleeding in the early stages of pregnancy, specifically indicating the presence of SCH not otherwise specified.
- O46.8X1 - Other antepartum hemorrhage, first trimester: This code is applied when SCH is identified in the first trimester, indicating the timing of the hemorrhage in relation to gestational age.
- O46.8X2 - Other antepartum hemorrhage, second trimester: Indicates SCH during the second trimester, requiring monitoring and potential intervention.
- O46.8X3 - Other antepartum hemorrhage, third trimester: Used for SCH cases in the third trimester, which may carry increased risks for preterm labor.
- O46.90 - Antepartum hemorrhage, unspecified, unspecified trimester: This nonspecific code is used when the documentation does not detail the timing of the SCH within the pregnancy.
- O46.8X0 - Other antepartum hemorrhage, not applicable or unspecified: This code may be used when the stage of pregnancy is not applicable or unspecified in the documentation.
- O46.8X4 - Other antepartum hemorrhage, postpartum condition or complication: Although SCH is typically an antepartum condition, this code can be used if SCH-related complications persist postpartum.
For a comprehensive understanding of how to document and code for SCH, refer to our explainer video on Subchorionic Hemorrhage ICD Codes.
Which Subchorionic Hemorrhage ICD codes are Billable?
- O20.8 - Yes
- O46.8X1 - Yes
- O46.8X2 - Yes
- O46.8X3 - Yes
- O46.90 - Yes
- O46.8X0 - Yes
- O46.8X4 - Yes
Clinical Information
- Subchorionic hemorrhage is typically diagnosed via ultrasound.
- Symptoms may include vaginal bleeding, abdominal pain, and cramping.
- Risk factors can include advanced maternal age and previous pregnancy loss.
- Potential complications include miscarriage, preterm labor, and placental abruption.
- Management often involves bed rest and monitoring.
- Hydration and avoidance of strenuous activity are commonly recommended.
- Follow-up ultrasounds may be necessary to monitor the resolution of the hemorrhage.
Synonyms Include:
- Subchorionic hematoma
- Peri-chorionic bleeding
- Peri-chorionic hemorrhage
- Subchorionic bleed
- Chorionic hematoma
Commonly asked questions
Use when a pregnancy is complicated by a bleed under the chorionic membrane diagnosed by clinical or imaging findings.
Treatments may include bed rest, pelvic rest, and monitoring. In some cases, no treatment is required, and the hemorrhage resolves independently.
It indicates that the patient has experienced a bleed between the chorion and the wall of the uterus during pregnancy.
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