Diagnosis of Fetal Death An inability to obtain fetal heart tones upon examination suggests fetal demise; however, this is not diagnostic and death must be confirmed by ultrasonographic examination. Fetal demise is diagnosed by visualization of the fetal heart and the absence of cardiac activity.Jan 24, 2022
365300: Intrauterine Fetal Demise/Stillborn Profile (Extended) | Labcorp.
P95ICD-10 code P95 for Stillbirth is a medical classification as listed by WHO under the range - Certain conditions originating in the perinatal period .
Intrauterine fetal demise is the clinical term for stillbirth used to describe the death of a baby in the uterus. The term is usually applied to losses at or after the 20th week of gestation.Jan 9, 2020
O36.4ICD-10 code O36. 4 for Maternal care for intrauterine death is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
treatment of missed abortion59821, treatment of missed abortion, completed surgically; second trimester.Nov 2, 2018
A stillbirth is the death or loss of a baby before or during delivery. Both miscarriage and stillbirth describe pregnancy loss, but they differ according to when the loss occurs.Nov 16, 2020
A fresh stillbirth was defined as the intrauterine death of a fetus during labor or delivery, and a macerated stillbirth was defined as the intrauterine death of a fetus sometime before the onset of labor, where the fetus showed degenerative changes [15] as reported in the obstetric records by the attending physician/ ...May 5, 2005
B02ICD-10 code B02 for Zoster [herpes zoster] is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
Stillbirth has many causes: intrapartum complications, hypertension, diabetes, infection, congenital and genetic abnormalities, placental dysfunction, and pregnancy continuing beyond forty weeks. It is a catastrophic event with lasting consequences on all of society.Nov 5, 2021
A stillbirth is the death of a baby in the womb after week 20 of the mother's pregnancy. The reasons go unexplained for 1/3 of cases. The other 2/3 may be caused by problems with the placenta or umbilical cord, high blood pressure, infections, birth defects, or poor lifestyle choices.Aug 27, 2020
The primary fetal demise causes include: Post-term pregnancy (passing 42 weeks of gestation) Serious maternal infections (e.g., malaria, cytomegalovirus, listeriosis, toxoplasmosis, syphilis, or HIV) Chronic maternal disorders (e.g., diabetes, high blood pressure, or obesity)Jun 3, 2020
the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy
NEC Not elsewhere classifiable#N#This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.
ICD-9-CM codes from category V23 describe supervision of high-risk pregnancies, and should be used as the first-listed diagnosis. There are a total of 18 codes available for reporting high-risk prenatal care in ICD-9-CM.#N#In ICD-10-CM, the sequencing for the first-listed diagnosis is slightly different. Prenatal outpatient visits for high-risk patients should be reported with a code from category O09 Supervision of high-risk pregnancy and should be the first-listed diagnosis. Of the 60 codes available for reporting high-risk prenatal care in ICD-10, here are a few examples:#N#ICD-9: V23.0 Pregnancy with history of infertility#N#ICD-10: Supervision of pregnancy with history of infertility
Trimesters are counted from the first day of the last menstrual period and, according to ICD-10-CM, are defined as:#N#First trimester – less than 14 weeks, 0 days#N#Second trimester – 14 weeks, 0 days to 28 weeks, 0 days#N#Third trimester – 28 weeks, 0 days until delivery#N#The majority of ICD-10-CM codes in chapter 15: Pregnancy, Childbirth, and the Puerperium have a final character indicating the trimester of pregnancy. The provider’s documentation of the number of weeks may be used to assign the appropriate code identifying the trimester. Assignment of the final character for trimester should be based on the provider’s documentation of the trimester (or number of weeks) for the current admission or encounter. Each category that includes trimester codes has a code for “unspecified trimester;” however, you should avoid the temptation to assign an unspecified code instead of querying the provider or reviewing the documentation. It may be easier, but it may not always be reimbursed.
When a woman is admitted to the hospital for complications of pregnancy during one trimester, and remains in the hospital into a subsequent trimester, the trimester character for the antepartum complication code should be assigned based on when the complication developed, not the trimester at the time discharge.
For example, pre-eclampsia cannot occur before the 20th week of pregnancy (as such, there is no code to report first trimester): O14.0- Mild to moderate pre-eclampsia. O14.00 unspecified trimester. O14.02 second trimester. O14.03 third trimester.
A code from category Z34 should be assigned as the first-listed diagnosis for routine obstetric care. Code Z34.00 should not be used after a due date has been determined, but can be used when there are unknown dates. These women are usually scheduled for an ultrasound to determine gestational age.
Clinicians calculate pregnancy length based on a women’s menstrual cycle. The average menstrual cycle is 28 days. Clinicians base the length of a pregnancy on 10 cycles, or roughly 40 weeks. If a woman has a shorter cycle length, her due date would be less than 40 weeks; if a woman has a longer cycle length, her due date might be more ...