ICD-10 coding for pregnancy complications As physicians and coders transition to the International Classification of Diseases10th RevisionClinical Management (ICD-10-CM), several coding and documentation issues will need to be addressed related to complications of pregnancy. Codes for reporting complications of pregnancy, childbirth, and the puerperium are in chapter 15 of ICD-10-CM and begin with the letter O. Including the trimester in which the condition occurs, and seventh digits to identify the fetus affected, when necessary, are the main structural changes for classifying complication of pregnancy codes. The episode of care designations used in ICD-9-CM are no longer an axis of classification in ICD-10-CM. For complications of pregnancy, the trimester during which the complication occurs is part of the code selection in ICD-10-CM and the trimester should be documented. The number of weeks the patient is pregnant will determine the code selection. In ICD-10-CM, there is no longer the fifth digit classification for episode of care that is used in ICD-9-CM. The trimester is included as part of the complete code description. Chapter level instructions also note that an additional code from category Z3A Weeks of gestation also be assigned to identify the specific week of the pregnancy, and is used only on the maternal record. For some complication of pregnancy codes, seventh character extensions are required to be added in order to complete a valid, reportable code. These seventh character extensions identify the fetus affected. The seventh character 0 is for single gestations and multiple gestations where the fetus affected is unspecified. The seventh characters 1 to 9 are for cases of multiple gestations to identify the fetus for which the code applies. Further codi Continue reading >>
Abnormal glucose tolerance test during pregnancy - baby delivered Abnormal glucose tolerance test during pregnancy - baby not yet delivered Abnormal glucose tolerance test during pregnancy, childbirth and the puerperium Pregnancy with abnormal glucose tolerance test While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy Problems with the position of the baby, such as breech, in which the baby is going to come out feet first For some of these problems, the baby may need to be delivered surgically by a Cesarean section. Assisted delivery with forceps (Medical Encyclopedia) Brachial plexus injury in newborns (Medical Encyclopedia) Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. When you are pregnant, high blood sugar levels are not good for your baby. About seven out of every 100 pregnant women in the United States get gestational diabetes. Gestational diabetes is diabetes that happens for the first time when a woman is pregnant. Most of the time, it goes away after you have your baby. But it does increase your risk for developing type 2 diabetes later on. Your child is also at risk for obesity and type 2 diabetes. Most women get a test to check for diabetes during their second trimester of pregnancy. Women at higher risk may get a test earlier. If you already have diabetes, the best time to control your blood sugar is before you get pregnant. High blood sugar levels can be harmful to your baby during the first weeks of pregnancy - even before you know you are pregnant. To keep you and your baby healthy, it is important to keep your blood sugar as close to norma Continue reading >>
2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx O99.810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018 edition of ICD-10-CM O99.810 became effective on October 1, 2017. This is the American ICD-10-CM version of O99.810 - other international versions of ICD-10 O99.810 may differ. O99.810 is applicable to maternity patients aged 12 - 55 years inclusive. O99.810 is applicable to female patients. The following code (s) above O99.810 contain annotation back-references In this context, annotation back-references refer to codes that contain: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days 3rd trimester- 28 weeks 0 days until delivery supervision of normal pregnancy ( Z34.- ) code from category Z3A , Weeks of gestation, to identify the specific week of the pregnancy, if known. Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium 2016 2017 2018 Non-Billable/Non-Specific Code conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care when the reason for maternal care is that the condition is known or suspected to have affected the fetus ( O35 - O36 ) Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium Other specified diseases and conditions complicating pregnancy, Continue reading >>
Impaired glucose tolerance (IGT) is a pre-diabetic state of hyperglycemia that is associated with insulin resistance and increased risk of cardiovascular pathology. IGT may precede type 2 diabetes mellitus by many years. IGT is also a risk factor for mortality. [1] Diagnosis According to the criteria of the World Health Organization and the American Diabetes Association, impaired glucose tolerance is defined as: [2] [3] [4] two-hour glucose levels of 140 to 199 mg per dL (7.8 to 11.0 mmol/l) on the 75-g oral glucose tolerance test. A patient is said to be under the condition of IGT when he/she has an intermediately raised glucose level after 2 hours, but less than the level that would qualify for type 2 diabetes mellitus. The fasting glucose may be either normal or mildly elevated. From 10 to 15 percent of adults in the United States have impaired glucose tolerance or impaired fasting glucose. [5] Treatment Main article: Prevention of diabetes mellitus type 2 The risk of progression to diabetes and development of cardiovascular disease is greater than for impaired fasting glucose. [6] Although some drugs can delay the onset of diabetes, lifestyle modifications play a greater role in the prevention of diabetes. [5] [7] Patients identified as having an IGT may be able to prevent diabetes through a combination of increased exercise and reduction of body weight. [5] "Drug therapy can be considered when aggressive lifestyle interventions are unsuccessful." [5] See also Glucose tolerance test Impaired fasting glucose Further reading Melanie J Davies; I Peter Gray (3 February 1996). "Impaired glucose tolerance". British Medical Journal. 312 (7026): 264–65. doi:10.1136/bmj.312.7026.264. PMC 2349870 . PMID 8611769. – Editorial review Nathan, DM; Davidson Continue reading >>
Gestational diabetes mellitus in the puerperium, unspecified control 2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx O24.439 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Gestational diabetes in the puerperium, unsp control The 2018 edition of ICD-10-CM O24.439 became effective on October 1, 2017. This is the American ICD-10-CM version of O24.439 - other international versions of ICD-10 O24.439 may differ. O24.439 is applicable to maternity patients aged 12 - 55 years inclusive. O24.439 is applicable to female patients. The following code (s) above O24.439 contain annotation back-references In this context, annotation back-references refer to codes that contain: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days 3rd trimester- 28 weeks 0 days until delivery Continue reading >>
2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx O99.810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018 edition of ICD-10-CM O99.810 became effective on October 1, 2017. This is the American ICD-10-CM version of O99.810 - other international versions of ICD-10 O99.810 may differ. O99.810 is applicable to maternity patients aged 12 - 55 years inclusive. O99.810 is applicable to female patients. The following code (s) above O99.810 contain annotation back-references In this context, annotation back-references refer to codes that contain: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days 3rd trimester- 28 weeks 0 days until delivery supervision of normal pregnancy ( Z34.- ) code from category Z3A , Weeks of gestation, to identify the specific week of the pregnancy, if known. Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium 2016 2017 2018 Non-Billable/Non-Specific Code conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care when the reason for maternal care is that the condition is known or suspected to have affected the fetus ( O35 - O36 ) Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium Other specified diseases and conditions complicating pregnancy, Continue reading >>
code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. The state of pregnancy in women with diabetes mellitus. This does not include either symptomatic diabetes or glucose intolerance induced by pregnancy (diabetes, gestational) which resolves at the end of pregnancy.
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code. O24 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Short description: Diabetes in pregnancy, childbirth, and the puerperium.
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
Unspecified diabetes mellitus in pregnancy, childbirth and the puerperium. Clinical Information. The state of pregnancy in women with diabetes mellitus. This does not include either symptomatic diabetes or glucose intolerance induced by pregnancy (diabetes, gestational) which resolves at the end of pregnancy. Code History.
code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. The state of pregnancy in women with diabetes mellitus. This does not include either symptomatic diabetes or glucose intolerance induced by pregnancy (diabetes, gestational) which resolves at the end of pregnancy.
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.
Coding for Pregnancy is sometimes difficult as there are multiple factors that need to be taken into consideration like the trimester, fetus identification, whether it is a high risk pregnancy or a normal pregnancy and other additional code like the code for the weeks of gestation from chapter 22.
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.
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.
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.
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.
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.