V72.42 Pregnancy examination or test, positive result The physician should report V72.40 if the encounter is to test for a suspected pregnancy and the patient leaves without knowing the results. If the pregnancy test is negative, report code V72.41.
2018/2019 ICD-10-CM Diagnosis Code Z32.00. Encounter for pregnancy test, result unknown. Z32.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
So, pt comes to the office, ultrasound is done, pregnancy is confirmed, we also might have a positive urine test = Z32.01- Encounter for pregnancy test, result positive. The reason for the visit MD puts- Amenorrhea.
Supervision of high-risk pregnancy (ICD 10 Code range- O09.0- O09.93) A pregnancy is considered high-risk if the woman is- 17 years or younger 35 years or older
The “unspecified trimester” code should be used only if there is insufficient documentation regarding the trimester and this code should be rarely used. Certain code categories require 7 th characters to identify the fetus. The following are the 7 th characters- 0 –single gestation, insufficient documentation regarding the fetus affected
Q90. 0 (Down syndrome, Trisomy 21, nonmosaicism)
If the doctor's documentation had just documented, “positive pregnancy test,” the code would be Z32. 01, Encounter for pregnancy test, result positive.
ICD-10-CM Code for Maternal care for (suspected) chromosomal abnormality in fetus O35. 1.
Encounter for supervision of normal pregnancy, unspecified90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.
Encounter for supervision of normal pregnancy, unspecified, unspecified trimester. Z34. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Pregnancy Test: CPT Code 81025 for human chorionic gonadotropin (hCG) urine testing performed in the office should be reported on a claim any time the test is performed.
8XX0 for Maternal care for other (suspected) fetal abnormality and damage, not applicable or unspecified is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
2022 ICD-10-CM Diagnosis Code Z36. 0: Encounter for antenatal screening for chromosomal anomalies.
Supervision of elderly primigravida, unspecified trimester 519 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O09. 519 became effective on October 1, 2021.
Encounter for supervision of other normal pregnancy80 Encounter for supervision of other normal pregnancy, unspecified trimester.
ICD-10-CM Code for Encounter for supervision of normal pregnancy, unspecified Z34. 9.
Code Z33. 1 This code is a secondary code only for use when the pregnancy is in no way complicating the reason for visit. Otherwise, a code from the obstetric chapter is required.
The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.
If the provider has documented that the pregnancy is incidental to the visit, which means that the reason for the visit was not pregnancy related and the provider did not care for the pregnancy, the code to be used is Z33.1, Pregnant state, incidental and not the chapter 15 codes.
Galactorrhea. Other obstetric conditions, not elsewhere classified (Code range O94-O9A) Sequelae (Late effects) of complication of pregnancy, childbirth, and the puerperium (O94)- Includes conditions or late effects that may occur any time after the puerperium.
Morbidly adherent placenta (Placenta accrete, Placenta increta, Placenta percreta) Placental infarction. Placenta previa (Code range O44.00- O44.53)- Condition in which the placenta is implanted in the lower parts of the uterus.
Missed abortion (O02.1)- The retention of a non-viable fetus along with the placenta and embryonic tissues inside the uterus without the body recognizing the loss of pregnancy and therefore failing to naturally expel the non-viable contents like in spontaneous abortion.
Hydatidiform mole (Code range- O01.0 – O01.9) – Also known as molar pregnancy is an abnormal fertilized egg or a non-cancerous tumor of the placental tissue which mimics a normal pregnancy initially but later leads to vaginal bleeding along with severe nausea and vomiting.
Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.
21 weeks gestation of pregnancy 1 Z3A.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z3A.21 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z3A.21 - other international versions of ICD-10 Z3A.21 may differ.
complications of pregnancy, childbirth and the puerperium ( O09 - O9A) Note. Codes from category Z3A are for use, only on the maternal record, to indicate the weeks of gestation of the pregnancy, if known. Weeks of gestation. Present On Admission.
Encounter for pregnancy test 1 Z32.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM Z32.0 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z32.0 - other international versions of ICD-10 Z32.0 may differ.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
Z32.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2021 edition of ICD-10-CM Z32.0 became effective on October 1, 2020. This is the American ICD-10-CM version of Z32.0 - other international versions of ICD-10 Z32.0 may differ.
The confirmation of pregnancy visit is typically a minimal visit that may not involve face to face contact with the physician (for an established patient). The physician may draw blood and prescribe prenatal vitamins during this initial visit and still report it as a separate E/M service as long as the OB record is not started.
The physician should report V72.40 if the encounter is to test for a suspected pregnancy and the patient leaves without knowing the results. If the pregnancy test is negative, report code V72.41. Report code V72.42 if the pregnancy is confirmed but the obstetrical record is not initiated.
If the pregnancy has been confirmed by another physician, you would not bill a confirmation of pregnancy visit. The confirmation of pregnancy visit is typically a minimal visit that may not involve face to face contact with the physician (for an established patient).
This isn' t an OB visit so you shouldn't use an O code, otherwise the insurance will consider this an OB visit and include it with antepartum care. Use Z32.01 for the E/M and the US because this is a Gyn visit per ACOG.
The physician may draw blood and prescribe prenatal vitamins during this initial visit and still report it as a separate E/M service as long as the OB record is not started. The physician should report V72.40 if the encounter is to test for a suspected pregnancy and the patient leaves without knowing the results.
Even if the patient has taken a home pregnancy test, the initial visit may still be billed as an E/M service as you will be officially confirming the pregnancy. When coding for the “initial ob visit”, there are a few things that have to be taken into consideration.
During pregnancy, childbirth or the puerperium, a patient admitted (or presenting for a health care encounter) because of COVID-19 should receive a principal diagnosis code of O98.5- , Other viral diseases complicating pregnancy, childbirth and the puerperium, followed by code U07.1, COVID-19, and the appropriate codes for associated manifestation (s). Codes from Chapter 15 always take sequencing priority
Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) g. Coronavirus Infections. Code only a confirmed diagnosis of the 2019 novel coronavirus disease (COVID-19) as documented by the provider, documentation of a positive COVID-19 test result, or a presumptive positive COVID-19 test result.