Coding for Obstetrics in ICD-10-CM/PCS AHIMA 2012 Audio Seminar Series 5 Notes/Comments/Questions Hypertension in Pregnancy, Childbirth and the Puerperium ICD-9-CM 642 Hypertension complicating pregnancy, childbirth, and the puerperium 642.0 Benign essential hypertension 642.1 Hypertension secondary to renal disease
ICD-10-CM Common Codes for Gynecology and Obstetrics ICD-10 Code Diagnoses Z31.430 Testing Of Female For Genetic Disease Carrier Status, Procreative Z31.438 Genetic Procreative Testing Of Female Z31.440 Testing Of Male For Genetic Disease Carrier Status, Procreative Z31.441 Testing Of Partner Of Female With Recurrent Pregnancy Loss
encounter for examination for administrative purposes ( Z02.-) encounter for examination for suspected conditions, proven not to exist ( Z03.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
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.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester | ICD-10-CM.
Z01.419411, Encounter for gynecological examination (general) (routine) with abnormal findings, or Z01. 419, Encounter for gynecological examination (general) (routine) without abnormal findings, may be used as the ICD-10-CM diagnosis code for the annual exam performed by an obstetrician–gynecologist.
The CPT code for Obstetrics & Gynecology ranges from 56405 – 58999, including procedures done in the female genital system and maternity care & delivery.
Our patients come in either for a first visit - usually prior to 8 weeks for a confirmatory visit. These are usually billed at a 99202 or 99212-99213, (depending on what the doctor did), along with the pregnancy test and then are given an appointment for their first PNV which begins the global period.
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.
Z01.419Encounter for gynecological examination (general) (routine) without abnormal findings. Z01. 419 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 Z01.
Well Women Exam CPT Code CPT G0101 may be used to report Well Woman Exam. The description of the CPT code for Well woman is as follows: “Cervical or vaginal cancer screening; pelvic and clinical breast exam.”
Vaginal Pap test (Z12. 72)
These special codes are: S0610 Annual gynecological examination, new patient S0612 Annual gynecological examination, established patient S0613 Annual gynecological examination; clinical breast examination without pelvic evaluation Notably, Aetna Cigna, and United Healthcare require these codes for a gyn exam, but many ...
0500FUse CPT Category II code 0500F (Initial prenatal care visit) or 0501F (Prenatal flow sheet documented in medical record by first prenatal visit) AND any of the applicable diagnosis codes as outlined in the “Quality Reporting” section of the Corporate Reimbursement Policy, “Guidelines for Global Maternity Reimbursement” ...
Pregnancy Test: CPT Code 81025 for human chorionic gonadotropin (hCG) urine testing performed in the office should be reported on a claim any time the test is performed.
Z12.31 – Encounter for screening mammogram for malignant neoplasm of breast. Given that 1 in 8 US women—about 12.4 percent—will develop invasive breast cancer in their lifetimes, it’s important to get screened regularly. Most OB/GYNs offer such screenings as a normal part of a routine check-up.
Due to their focus on women’s health, these codes are unlikely to crop up in an emergency room or a cardiologist’s office.