Shock following incomplete spontaneous abortion

This code signifies a state of circulatory collapse, or shock, that develops as a direct consequence of an incomplete spontaneous abortion. It indicates that some products of conception remain within the uterus, and the patient is experiencing systemic hypoperfusion. This is a severe, life-threatening complication requiring immediate medical intervention.

Assign this code when documentation clearly indicates a patient presenting with signs and symptoms of shock (e.g., hypotension, tachycardia, altered mental status) following an incomplete spontaneous abortion. The physician's notes should explicitly link the shock to the incomplete abortion, often detailing significant blood loss or other non-infectious causes.

• Differentiate carefully between shock due to hemorrhage and septic shock; if infection is the cause, a different code is required.
• Ensure documentation specifies "incomplete" spontaneous abortion; complete spontaneous abortions with shock would be coded differently.
• Sequence this code as the principal diagnosis when the shock is the primary reason for the encounter and treatment.