Short description: Twin pregnancy, unsp num plcnta & amnio sacs, unsp trimester The 2021 edition of ICD-10-CM O30.009 became effective on October 1, 2020. This is the American ICD-10-CM version of O30.009 - other international versions of ICD-10 O30.009 may differ. ICD-10-CM Coding Rules
Effective October 1, 2016, the guideline for “Prenatal outpatient visits for high-risk patients” has been replaced with the title of “Supervision of High-Risk Pregnancy,” and includes additional guidance. Chapter 15 of ICD-10-CM contains codes pertaining to Pregnancy, Childbirth and the Puerpernium (O00-O9A):
Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester. O30.009 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM O30.009 became effective on October 1, 2018.
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.
O09. 90 - Supervision of high risk pregnancy, unspecified, unspecified trimester. ICD-10-CM.
CPT® Code for twin gestation76815 – OB ultrasound: limited one or more fetus.76801- OB ultrasound, Transabdominal less than 14 weeks of gestation: complete first gestation.76805- OB ultrasound, Transabdominal, more than 14 weeks of gestation; complete first gestation.76817- OB Ultrasound Transvaginal.
O09. 90 (supervision of high risk pregnancy, unspecified, unspecified trimester)
Encounter for supervision of normal pregnancy, unspecifiedICD-10 code Z34. 91 for Encounter for supervision of normal pregnancy, unspecified, first trimester is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
If you are only checking the fluid volume, you would bill 76815. If you are also evaluating some of the fetal anatomy, you would bill 76816.
The coder would report an additional vaginal delivery-only code for the second-born baby, then delineate between the codes by labelling them Twin A or Twin B. The coder should also append modifier -51 (multiple procedures) or -59 (distinct procedural service) to the code for the subsequent delivery.
The 0500F code is used for intital prenatal care visit with the provider. The 0501F is the prenatal flow sheet documented, which I do not use .
Use CPT Category II code 0500F (Initial prenatal care visit) or 0501F (Prenatal flow sheet documented in medical record by first prenatal visit).
ICD-10 code Z34. 83 for Encounter for supervision of other normal pregnancy, third trimester is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester | ICD-10-CM.
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.
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.
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.
Twin pregnancy, monochorionic/monoamniotic, second trimester 1 O30.012 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 O30.012 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of O30.012 - other international versions of ICD-10 O30.012 may differ.
O30.012 is applicable to mothers in the second trimester of pregnancy, which is defined as between equal to or greater than 14 weeks to less than 28 weeks since the first day of the last menstrual period. Trimesters are counted from the first day of the last menstrual period. They are defined as follows: