General rules to be followed while coding pregnancy ICD 10 visits- The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records. Any complications or conditions arising due to pregnancy, childbirth or puerperium should be coded using the codes from this chapter.
Coding encounters for normal versus high risk pregnancies- Encounter for a routine visit in case of a normal pregnancy is coded with the Z34 category code from chapter 22 code and this should not be used with the chapter 15 codes. Supervision of high-risk pregnancy is coded with codes from the category O09.
Common ICD-10 OBGYN Codes. The clinical concepts for OBGYN guide includes common ICD-10 codes, clinical documentation tips and clinical scenarios. (Excluding Neoplasia and Malignancy Codes) (ICD-9-CM 622.10, 622.11, 622.12, 792.9, 795.01 to 795.19 range, 795.4)
Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (Code range- O10.011-O10.93) – A pregnancy complication arising due to the patient being hypertensive, having proteinuria (increased levels of protein in urine), hypertensive heart disease, hypertensive CKD or both prior to the pregnancy.
ICD-10 Code for Encounter for supervision of normal pregnancy, unspecified, first trimester- Z34. 91- Codify by AAPC.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester | ICD-10-CM.
Encounter for supervision of normal pregnancy, unspecified90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.
ICD-10-CM Code for Weeks of gestation of pregnancy, weeks 10-19 Z3A. 1.
Routine obstetric care is recommended for pregnant women experiencing a normal pregnancy without any risk factors. The first appointment may include a complete physical exam, including a pap smear, routine prenatal lab work and an ultrasound to confirm the pregnancy is viable and calculate a due date.
For example, 59400 is used to report Routine OB care including antepartum care, vaginal delivery, and postpartum care. Codes immediately following 59400 report individual components of the global package. Code 59510 reports Routine OB care including antepartum care, cesarean delivery, and postpartum care.
Encounter for supervision of other normal pregnancy80 Encounter for supervision of other normal pregnancy, unspecified trimester.
A pregnancy is divided into three stages called trimesters: first trimester, second trimester, and third trimester.
The only exception to this is if a pregnant woman is seen for an unrelated condition. In such cases, code Z33. 1 Pregnant State, Incidental should be used after the primary reason for the visit.
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. The 2022 edition of ICD-10-CM Z34.
Z3A.12ICD-10-CM Code for 12 weeks gestation of pregnancy Z3A. 12.
Z3A.35ICD-10-CM Code for 35 weeks gestation of pregnancy Z3A. 35.
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.
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.
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.
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.
If the patient is admitted with a pregnancy complication which necessitated a Cesarean delivery, the code for the complication should be sequenced first. But if the reason for admission was different from the reason for the C-section, the reason for the admission will be sequenced first.
The clinical concepts for OBGYN guide includes common ICD-10 codes, clinical documentation tips and clinical scenarios.
N83.0 Follicular cyst of ovary N83.1 Corpus luteum cyst N83.20* Unspecified ovarian cysts N83.29 Other ovarian cysts N83.31 Acquired atrophy of ovary N83.32 Acquired atrophy of fallopian tube N83.33 Acquired atrophy of ovary and fallopian tube N83.4 Prolapse and hernia of ovary and fallopian tube N83.51 Torsion of ovary and ovarian pedicle N83.52 Torsion of fallopian tube N83.53 Torsion of ovary, ovarian pedicle and fallopian tube N83.6 Hematosalpinx N83.7 Hematoma of broad ligament N83.8 Other noninflammatory disorders of ovary, fallopian tube & broad ligament N83.9* Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified.