Prem separtn of placenta w afibrinogenemia, second trimester

This code signifies a placental abruption occurring during the second trimester of pregnancy, specifically complicated by afibrinogenemia. Afibrinogenemia is a severe coagulation disorder characterized by the absence of fibrinogen, leading to impaired blood clotting. This combination presents a high risk of maternal hemorrhage and fetal compromise.

Use this code when documentation clearly indicates a premature separation of the placenta in a pregnant patient between 14 weeks 0 days and 27 weeks 6 days gestation. The medical record must also explicitly state the presence of afibrinogenemia as a complicating factor. This typically involves laboratory confirmation of absent fibrinogen levels.

• Ensure the trimester is accurately documented as the second trimester; codes exist for other trimesters.
• Verify that afibrinogenemia is specifically documented, not just general coagulopathy.
• Sequence this code as the principal diagnosis when it is the reason for the encounter, followed by codes for any associated conditions or complications.