Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code O46.90 2022 ICD-10-CM Diagnosis Code O46.90 Antepartum hemorrhage, unspecified, unspecified trimester 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Maternity Dx (12-55 years) O46.90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-CM ANTEPARTUM VISITS PROCEDURE CODES EFFECTIVE FOR DATES OF SERVICE ON OR AFTER OCTOBER, 1, 2015 ICD-10 CODE Z33.1 Z34.00 Z34.01 Z34.02 Z34.03 Z34.80 Z34.81 Z34.82 Z34.83 Z34.90 Z34.91 Z34.92 Z34.93 O09.00 …
Oct 01, 2021 · O46.003 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Antepartum hemorrhage w coag defect, unsp, third trimester. The 2022 edition of ICD-10-CM …
Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code O46.9 2022 ICD-10-CM Diagnosis Code O46.9 Antepartum hemorrhage, unspecified 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code O46.9 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
CPT Codes for Vaginal Delivery | |
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59400 | Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps) and postpartum care |
59409 | Vaginal delivery only (with or without episiotomy and/or forceps); |
Z36 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 Z36 became effective on October 1, 2020. This is the American ICD-10-CM version of Z36 - other international versions of ICD-10 Z36 may differ. Type 1 Excludes.
It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z36. A type 1 excludes note is for used for when two conditions cannot occur together , such as a congenital form versus an acquired form of the same condition.
Anemia complicating pregnancy, third trimester 1 O99.013 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 O99.013 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of O99.013 - other international versions of ICD-10 O99.013 may differ.
O99.013 is applicable to mothers in the third trimester of pregnancy, which is defined as between equal to or greater than 28 weeks since the first day of the last menstrual period. Trimesters are counted from the first day of the last menstrual period.
Antepartum care only does not include delivery or postpartum care. When reporting this service, you do not report the global maternity package. These circumstances occur commonly in the OB world. Examples are if the patient changes insurance payers during the maternity care, if the patient transfers care to another provider, or if the patient miscarries or aborts the fetus.#N#In most circumstances, the average number of antepartum visits for uncomplicated care is 13. Antepartum visits totaling fewer than 13 should be reported separately from the OB package using codes for antepartum care only. If circumstances warrant reporting antepartum services only, code selection is based on the total number of provided antepartum visits.
Per ICD-9-CM guidelines, postpartum care starts immediately after delivery and runs for six weeks. Check with the payer for its specific policies on postpartum care, as policies may vary. For example, CIGNA® allows six weeks postpartum care for vaginal deliveries, but extends the period to eight weeks for cesarean deliveries.#N#If the provider is reporting the global maternity package, all postpartum visits are included in the global code. If the provider is not claiming the global maternity package, and is providing postpartum care only, report 59430 Postpartum care only (separate procedure). This code includes all after-delivery E/M visits related to the pregnancy.#N#Example: A patient vaginally delivers a healthy infant. The patient moves to another town immediately following her delivery, and presents to a new OB/GYN provider for postpartum care. Because the new OB/GYN is providing only postpartum care, proper coding is 59430.
Modifier 24 is needed to alert the carrier that the E/M service (s) is unrelated to the global OB package (for a detailed explanation, see “Related or Not? Pass the Modifier 24 Paternity Test” on page 24).#N#Example: An established patient at 22-weeks gestation is admitted to hospital observation with pre-term labor. The pa-tient’s OB/GYN visits the patient in observation and performs a comprehensive history, exam, and MDM of moderate complexity. The next day, the OB/GYN returns and determines the patient has improved. The patient is discharged from observation care with orders to follow up in the OB/GYN’s office in one week. Correct coding for these encounters:
99219-24 Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity.
99217-24 Observation care discharge day management (This code is to be utilized by the physician to report all services provided to a patient on discharge from “observation status” if the discharge is on other than the initial date of “observation status.” #N#Remember: The global maternity package includes uncomplicated care. Because this patient was diagnosed with pre-term labor and admitted to observation, this is not uncomplicated care and, thus, it is separately reportable with the observation E/M codes. Modifier 24 is needed to indicate these encounters are unrelated to the global maternity package.#N#Dawson Ballard, Jr., CPC, CEMC, CCS-P, is a coder at Town Plaza OBGYN in Overland Park, Kan., and a member of the Overland Park local chapter.