I have read the threatened abortion needs to have associated symptom like uterine cramps, abdominal pain, bleeding,…I am working in an IVF center (assisted reproducitve technique center) where physicians stated that threatened abortion can clinically be documented and thus coded without the above symptoms such as:
(1) Secondary Infertility where patient had multiple miscarriages and thus if pregnancy occurred, the patient is considered high risk pregnancy with history of infertility along with threatened abortion diagnosis.
Especially in the similar gestation weeks when she was aborted earlier.
(2) Primary Infertility with Multiple failed IVF cycle – Embryo Implantation failure. Thus if pregnancy occurred, the patient is considered high risk pregnancy with history of infertility along with threatened abortion diagnosis.

Another question about threatened abortion, if qualifying symptoms existed, can the physician document threatened abortion on sequential encounters (patient might experiences the symptoms in the first encounter and is under conservative management and not necessarily to have persistent symptoms in her next visit but physician documented in both visits threatened abortion).

Thanks
Jibin zachariah CPC CPMA
01161432