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O02.1

Billable

Missed abortion

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A pregnancy loss where the fetus has died but remains in the uterus without being expelled, typically discovered during routine examination.

Coding Tips

  • Document the estimated time of fetal death versus time of diagnosis, as this affects management decisions
  • Ensure ultrasound confirmation of fetal demise is documented in the medical record

Excludes 1 — Do NOT code together

  • failed induced abortion (O07.-)
  • fetal death (intrauterine) (late) (O36.4)
  • missed abortion with blighted ovum (O02.0)
  • missed abortion with hydatidiform mole (O01.-)
  • missed abortion with nonhydatidiform (O02.0)
  • missed abortion with other abnormal products of conception (O02.8-)
  • missed delivery (O36.4)
  • stillbirth (P95)

Code Hierarchy

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