Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, “Pregnancy, Childbirth, and the Puerperium.” It includes categories O00–O9A arranged in the following blocks:
Encounter for routine gynecological examination. Z01.41 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM Z01.41 became effective on October 1, 2018.
Newborn health examination 1 Z00.11 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM Z00.11 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z00.11 - other international versions of ICD-10 Z00.11 may differ.
ICD-10-CM/PCS will capture a greater level of specificity for obstetric coding. This article highlights some of the new features in coding obstetric cases with ICD-10-CM/PCS.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester | ICD-10-CM.
Z3A.17ICD-10-CM Code for 17 weeks gestation of pregnancy Z3A. 17.
2022 ICD-10-CM Diagnosis Code Z34: Encounter for supervision of normal pregnancy.
Encounter for supervision of normal pregnancy, unspecified90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.
Encounter for deliveryZ3A.0 Weeks of gestation of pregnancy, unspecified or less than 10 weeks. ... Z3A.1 Weeks of gestation of pregnancy, weeks 10-19. ... Z3A.2 Weeks of gestation of pregnancy, weeks 20-29. ... Z3A.3 Weeks of gestation of pregnancy, weeks 30-39. ... Z3A.4 Weeks of gestation of pregnancy, weeks 40 or greater.
Z3A.26ICD-10 Code for 26 weeks gestation of pregnancy- Z3A. 26- Codify by AAPC.
Encounter for supervision of other normal pregnancy82 Encounter for supervision of other normal pregnancy, second trimester.
02 Encounter for supervision of normal first pregnancy, second trimester.
Z12.4 – Encounter for screening for malignant neoplasm of cervix*
Encounter for supervision of other normal pregnancy80 Encounter for supervision of other normal pregnancy, unspecified trimester.
Code Z33. 1 This code is a secondary code only for use when the pregnancy is in no way complicating the reason for visit. Otherwise, a code from the obstetric chapter is required.
A pregnancy is divided into three stages called trimesters: first trimester, second trimester, and third trimester. A trimester lasts between 12 and 14 weeks, while a full-term pregnancy lasts around 40 weeks from the first day of a woman's last period.
Coding for Obstetrics in ICD-10-CM/PCS
ICD-10 Index. Pregnancy, childbirth and the puerperium (O00–O99) Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
New and Revised ICD-10-CM Obstetric Guidelines. By Ann Barta, MSA, RHIA, CDIP. When comparing the ICD-9-CM and ICD-10-CM obstetric guidelines, coding professionals should note both revised and completely new guidelines in ICD-10-CM.
Free, official coding info for 2022 ICD-10-CM O36.4 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.
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If a delivery occurs during an admission and there is an “in childbirth” option for the obstetric complication being coded, the “in childbirth” code should be assigned. If the complication occurs after delivery , the “in puerperium” code should be assigned if available.
They are defined as follows: First trimester: less than 14 weeks 0 days. Second trimester: 14 weeks 0 days to less than 28 weeks 0 days. Third trimester: 28 weeks 0 days until delivery.
Additionally, trimester is not a component of some obstetric codes because the condition either always occurs in a specific trimester or the trimester concept is not applicable. Examples of ICD-10-CM codes not classified by trimester are O62.1, Secondary uterine inertia, O63.1, Prolonged second stage (of labor), and O70.1, ...
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.
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.
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.
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.
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.
HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome – (Code range O14.20- O14.25) – A very rare condition seen in pregnant patients mostly with pre-eclampsia usually before the 37 th week of pregnancy.
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.
If a delivery occurs during an admission and there is an “in childbirth” option for the obstetric complication being coded, the “in childbirth” code should be assigned. If the complication occurs after delivery , the “in puerperium” code should be assigned if available.
They are defined as follows: First trimester: less than 14 weeks 0 days. Second trimester: 14 weeks 0 days to less than 28 weeks 0 days. Third trimester: 28 weeks 0 days until delivery.
Additionally, trimester is not a component of some obstetric codes because the condition either always occurs in a specific trimester or the trimester concept is not applicable. Examples of ICD-10-CM codes not classified by trimester are O62.1, Secondary uterine inertia, O63.1, Prolonged second stage (of labor), and O70.1, ...