O45.021
BillablePremature separation of placenta with disseminated intravascular coagulation, first trimester
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
The placenta separates prematurely from the uterus during the first trimester, causing disseminated intravascular coagulation (a life-threatening condition where blood clots form throughout the body and clotting factors are depleted).
Coding Tips
- •DIC is a severe complication requiring documentation of laboratory findings (PT, PTT, fibrinogen, platelet count) to support the diagnosis
- •First trimester abruption is relatively rare; verify documentation carefully to ensure accuracy
Code Hierarchy
└O45Premature separation of placenta [abruptio placentae]└O45.0Premature separation of placenta with coagulation defect└O45.02Premature separation of placenta with disseminated intravascular coagulation└O45.021Premature separation of placenta with disseminated intravascular coagulation, first trimester
└O45.021Premature separation of placenta with disseminated intravascular coagulation, first trimester