21: Maternal care for scar from previous cesarean delivery.
Z39.2ICD-10 code Z39. 2 for Encounter for routine postpartum follow-up is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting.
Code O80 Encounter for full term uncomplicated delivery is assigned as the principal diagnosis for delivery admissions that meet the following criteria (ICD-10-CM Coding Guideline I.C. 15. n): Vaginal delivery at full term.
Date of postpartum visit – The postpartum visit should occur 4-6 weeks after delivery. Use CPT II code 0503F (postpartum care visit) and ICD-10 diagnosis code Z39. 2 (routine postpartum follow-up).
Z39. 2 - Encounter for routine postpartum follow-up. ICD-10-CM.
Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47.
ICD-10-CM Code for Complication of surgical and medical care, unspecified, initial encounter T88. 9XXA.
Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.
ICD-10 code Z3A. 39 for 39 weeks gestation of pregnancy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
59400. Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps) and postpartum care.
Spontaneous vaginal delivery ( SVD ) is one which occurs when a pregnant woman goes into labor without the use of drugs or other techniques to induce labor and she delivers her baby through the vagina (birth canal) without forceps, vacuum extraction or a cesarean section.
Encounter for change or removal of nonsurgical wound dressing. Z48. 00 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 Z48.
ICD-10 code Z51. 89 for Encounter for other specified aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed or principal diagnosis.
Common ICD-10 codes for physical therapyCodeShort DescriptorM25.512Pain in left shoulderM25.562Pain in left kneeM25.551Pain in right hipM62.81Muscle weakness (generalized)6 more rows
The Obstetrics section is one of the smaller sections in ICD-10-PCS. It contains a single body system value, pregnancy (0), 12 root operation values, and three body part values: Products of Conception (0), Products of Conception, Retained (1), and Products of Conception, Ectopic (2). Because there is only one body system and 12 root operations, there are only 12 tables available in the Obstetrics section from which to construct procedure codes.
Procedures performed on the products of conception are coded to the Obstetrics section . Procedures performed on the pregnant female other than the products of conception are coded to the appropriate root operation in the Medical and Surgical section.
It should be noted that only two of these root operations are unique to obstetrics – Abortion and Delivery. As with all root operations, Abortion and Delivery have precise definitions that must be applied to ensure that the correct code is assigned. The root operation Extraction is also important because it is used to report Cesarean deliveries and vaginal deliveries in which the use of forceps or vacuum extraction is required.
The Obstetrics section is a good section with which to begin ICD-10-PCS training because of the relatively limited number of root operations and tables. While there are two root operations that apply only to Obstetrics, the other 10 root operations also are used in the Medical and Surgical section. Learning the definitions of those 10 root operations common to both sections and learning how these definitions are applied in the Obstetrics section will help coders understand how they are used and applied in the Medical and Surgical section as well. In the process of learning ICD-10-PCS Obstetrics coding, coders also will become familiar with the format of the tables and will be able to learn how to easily use these tables to construct a code.
Procedures performed following a delivery or abortion for curettage of the endometrium or evacuation of retained products of conception are all coded in the Obstetrics section, to the root operation Extraction and the body part Products of Conception, Retained. Diagnostic or therapeutic dilation and curettage performed during times other than the postpartum or post-abortion period are all coded in the Medical and Surgical section, to the root operation Extraction and the body part Endometrium.
Vaginal extractions always are reported with the approach value 7 , Via Natural or Artificial Opening, and require a qualifier to specifically identify the type of assisted vaginal delivery as Low Forceps (3), Mid Forceps (4), High Forceps (5), Vacuum (6), Internal Version (7) or Other (8).
Example: Amniocentesis is coded to the products of conception body part in the Obstetrics section.