Z33.2 Encounter for elective termination of pregnancy

ICD10CM code

#### Name of the Condition
- Encounter for Elective Termination of Pregnancy
- Also known as elective abortion or planned termination of pregnancy.

#### Summary
- Elective termination of pregnancy is a medical procedure conducted to end a pregnancy at the request of the patient, typically before the fetus is viable outside the womb.

#### Causes
- The procedure is elective, meaning it is chosen by the patient for various personal reasons, including family planning, personal health considerations, or socio-economic circumstances.

#### Risk Factors
- Being pregnant is the only direct factor for considering this procedure; however, access to healthcare services and personal choice significantly influence the decision.

#### Symptoms
- As this is not a condition but a procedure, typical symptoms afterwards may include bleeding and cramping, which are normal in the recovery process.

#### Diagnosis
- Not applicable as this is a procedure by choice. Pregnancy is confirmed via pregnancy tests or ultrasound prior to the procedure.

#### Treatment Options
- The procedure can be performed through medication (medical abortion) or surgical methods (such as vacuum aspiration or dilation and curettage).
- These methods are designed to safely terminate the pregnancy, with the choice depending on the stage of pregnancy and the patient's health.

#### Prognosis and Follow-Up
- Prognosis is generally positive with complete recovery expected. Follow-up may include a physical exam to ensure full recovery and emotional support if needed.
- Regular check-ups ensure no complications have arisen.

#### Complications
- Possible complications include infection, excessive bleeding, or incomplete abortion, though such risks are low when performed under professional care.

#### Lifestyle & Prevention
- As the procedure is elective, lifestyle changes relate to contraceptive use to prevent unwanted pregnancies.
- Discussing long-term contraceptive options with healthcare providers can reduce the need for repeated procedures.

#### When to Seek Professional Help
- Immediate medical attention should be sought for signs of fever, severe abdominal pain, excessive bleeding, or foul-smelling discharge after the procedure.

#### Additional Resources
- Planned Parenthood
- American College of Obstetricians and Gynecologists (ACOG)
- National Abortion Federation

#### Tips for Medical Coders
- Ensure accurate coding by verifying the procedure was elective and the correct ICD code Z33.2 is used.
- Common coding errors include confusion with non-elective or medically necessary pregnancy terminations, so confirming the elective nature is crucial.

Medical Policies and Guidelines for Encounter for elective termination of pregnancy

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