Prem separtn of placenta w dissem intravasc coag, second tri

This code signifies the premature detachment of the placenta from the uterine wall during the second trimester of pregnancy, complicated by disseminated intravascular coagulation (DIC). Abruptio placentae leads to maternal hemorrhage and fetal distress, while DIC is a severe, life-threatening disorder of coagulation.

Apply this code when documentation explicitly states placental abruption occurring in the second trimester (weeks 14 through 27+6 days) and confirms the presence of DIC. This diagnosis is typically made based on clinical signs of bleeding, imaging findings, and laboratory evidence of coagulopathy.

• Ensure the trimester is clearly documented as the second trimester; otherwise, a different trimester-specific code for abruption with DIC would be appropriate.
• Verify that DIC is explicitly diagnosed and not just suspected or a symptom of hemorrhage.
• Consider sequencing this code as the principal diagnosis if it is the primary reason for the encounter, followed by codes for any associated complications or fetal conditions.