icd 10 code for pregnancy of unknown anatomic location

What does pregnancy of unknown location mean?

Oth farm location as place. ICD-10-CM Diagnosis Code Y92.79. Other farm location as the place of occurrence of the external cause. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt. ICD-10-CM Diagnosis Code O21.9 [convert to ICD-9-CM] Vomiting of …

What does a pregnancy of unknown origin mean?

The ICD-10-CM code O36.80X0 might also be used to specify conditions or terms like finding of viability of pregnancy or uncertain viability of pregnancy. The code O36.80X0 is applicable to female patients aged 12 through 55 years inclusive.

What is the ICD 10 code for unwanted pregnancy?

Dec 14, 2020 · The Code Categories. Categories – ICD 10 Code for pregnancy with abortive outcome (O00- O08) 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.

What is the ICD 10 code for confirmation of pregnancy?

Pregnancy Of Unknown Location. What is the most appropriate ICD-10 code for pregnancy of unknown location (not an ectopic pregnancy)? What CPT code would be most appropriate for a manual uterine aspiration for a pregnancy of unknown location? Login now to view the answer to this Coding question. If you are not an ASRM member and would like to ...

What does pregnancy of unknown anatomic location mean?

How do you code incidental pregnancy?

What is the ICD-10 code for uncertain viability of pregnancy?

What is the ICD-10 code for ectopic pregnancy?

What does CPT code 59410 include?

What does ICD-10 code Z33 1 mean?

What is pregnancy with inconclusive fetal viability?

What is intrauterine pregnancy?

What does not a viable pregnancy mean?

What is the CPT code for ectopic pregnancy?

What is the ICD 9 code for ectopic pregnancy?

What is the CPT code for molar pregnancy?

What is the ICd 10 code for pregnancy?

O36.80X0 is a billable diagnosis code used to specify a medical diagnosis of pregnancy with inconclusive fetal viability, not applicable or unspecified. The code O36.80X0 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code O36.80X0 might also be used to specify conditions or terms like finding of viability of pregnancy or uncertain viability of pregnancy.#N#The code O36.80X0 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.#N#Unspecified diagnosis codes like O36.80X0 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

What is the ICd 10 code for a mapped ICd 9?

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O36.80X0 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

What is the age range for maternity code?

The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

What vitamins should pregnant women take?

Take prenatal vitamins. Pregnant women need higher amounts of certain vitamins and minerals, such as folic acid and iron.

When was the ICd 10 code implemented?

FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)

What is an unacceptable principal diagnosis?

Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause.

What chapter is ICD 10 for 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.

What is the code for ectopic pregnancy?

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.

What is the code for pre-existing hypertension?

Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (Code range- O10.011-O10.93) – A pregnancy complication arising due to the patient being hypertensive, having proteinuria (increased levels of protein in urine), hypertensive heart disease, hypertensive CKD or both prior to the pregnancy.

What is high risk pregnancy?

A high-risk pregnancy is a threat to the health and the life of the mother and the fetus.

What is the code for complications following termination of pregnancy?

Complications following (induced) termination of pregnancy (Code range- O04.5 – O04.89) – This includes the complications followed by abortions that are induced intentionally.

What is missed abortion?

Missed abortion (O02.1)- The retention of a non-viable fetus along with the placenta and embryonic tissues inside the uterus without the body recognizing the loss of pregnancy and therefore failing to naturally expel the non-viable contents like in spontaneous abortion.

What is the code for hydatidiform mole?

Hydatidiform mole (Code range- O01.0 – O01.9) – Also known as molar pregnancy is an abnormal fertilized egg or a non-cancerous tumor of the placental tissue which mimics a normal pregnancy initially but later leads to vaginal bleeding along with severe nausea and vomiting.

What is intrauterine pregnancy?

Definite intrauterine pregnancy:intrauterine gestational sac with yolk sac and/or embryo with or without cardiac activity.

What is a PUL pregnancy?

Pregnancy of unknown location (PUL) is defined as the situation when the pregnancy test is positive but there are no signs of intra uterine pregnancy or an extrauterine pregnancy via transvaginal ultrasonography (TVUS). It should be noted that PUL does not mean an ectopic pregnancy (EP). It is not a final diagnosis and in a certain number of women the final diagnosis cannot be made. In general, sonographic evaluation in addition to interval serum human chorionic gonadotropin (hCG) measurements is essential for determination of the location of pregnancy. Surgical intervention such as uterine evacuation and laparoscopy are also used in daily practice to determine or confirm the location of pregnancy. However, it is not always possible to determine the location of the pregnancy in cases of PUL since both miscarriage and ectopic pregnancy may resolve spontaneously without any treatment (1–3).

What is the HCG level for PUL?

In their study, the median hCG level at the time of application was reported as 388 and the average increase in the hCG levels was reported as 50% for the first day and 124% for the second day.

How does hCG change during ectopic pregnancy?

The rate of change in serial hCG values can be used to distinguish ectopic pregnancy from an intrauterine pregnancy or spontaneous abortion in only 73% of cases. There is no single pattern of hCG that is able to characterise ectopic pregnancy. In women with an ectopic pregnancy, 60% initially exhibited an increase in hCG values; however, this increase is lower when compared with the viable intrauterine pregnancy. In 39% of patients, the hCG values initially drop with a median slope of 15%, which is less than the mean 70%–75% decrease for complete spontaneous abortion. In 29% of patients, the hCG levels are inconsistent with increasing and decreasing hCG levels; the risk of late diagnosis and rupture is higher in these patients (12). Therefore, the increasing or decreasing hCG levels should not bias the physicians towards spontaneous abortion or intrauterine pregnancy. In women whose hCG levels are decreasing, serial hCG measurements should be performed until hCG is no longer detectable in the serum; sometimes this may take up to 6 weeks. In women whose hCG levels are increasing, ultrasonographic examination should be performed when the levels rise above the discriminatory value (2). The normal increase in serum hCG values does not exclude the possibility of a miscarriage or ectopic pregnancy (13). In fact, in 21% of women with ectopic pregnancy, the hCG levels imitate intrauterine pregnancy levels and in 8% can imitate the spontaneous abortion hCG levels. Similarly, in 1% of women with intrauterine pregnancy and in 10% of women with spontaneous abortion, the hCG levels are similar to ectopic pregnancy hCG levels (2).

What is the PUL rate for early pregnancy?

The reported rate of PUL among women attending early pregnancy units varies between 5 and 42% in the literature depending on the presence of experienced physicians and/ or equipment (4). The PUL rate will probably decrease and the location of pregnancies can be diagnosed more correctly with the availability of higher resolution ultrasonography equipment (5). In this context, it is suggested to keep the PUL rate under 15% by using high resolution ultrasonography equipment and employing experienced physicians in modern pregnancy units (6).

When is uterine curettage used in PUL?

When the pregnancy location cannot be determined, the diagnostic uterine curettage and pathological examination of specimens can be used. In PUL cases, the cytology can also be used for differentiating ectopic pregnancy and spontaneous abortion (18). Uterine curettage is not recommended as routine in PUL management; however, it can be used if the potential viable intrauterine pregnancy diagnosis is excluded (5).

What is the sensitivity of hCG?

The changes in serum hCG levels over 48 hour have been defined as the hCG ratio. A serum hCG increase over 48 hours of more than 66% (the hCG ratio >1.66) is a good predictor of an intrauterine pregnancy. A decrease in hCG of >13% or a hCG ratio of <0.87 has been found to have a sensitivity of 92.7% and a specificity of 96.7% for the prediction of a failing PUL; these patients have only a minimal need of subsequent follow-up (5). The sensitivity of hCG level for EP is found to be 85–100% and specificity is 28–97%. Since the study performed by Bignardi et al. (10) is the largest study of hCG levels to date, we would like to provide more detailed information from this study. Bignardi et al. (10) looked at hCG ratios with respect to the distribution of PUL results in their study. In total, 89.3% of the patients were diagnosed with ectopic pregnancy when the hCG ratio was ≤0.87, and 69.9% of the patients were diagnosed with ectopic pregnancy when the hCG ratio was between 0.87 and 1.66. When the hCG ratio was in the range of 1.66–2, the majority of patients were diagnosed with intrauterine pregnancy (56%); 39.7% of those women were diagnosed with non-viable intrauterine pregnancy and 16.3% were diagnosed with viable intrauterine pregnancy. Most of the patients (77.2%) were diagnosed with viable intrauterine pregnancy when the hCG ratio was ≥2. However, the risk of ectopic pregnancy still remains, even when the hCG ratio is ≥2, as shown by 8.2% of those patients being diagnosed with ectopic pregnancy. The hCG ratio was greater in viable intrauterine pregnancy compared with non-viable intrauterine pregnancy (3–10). According to this study, there may not be a need for further investigation and follow-up if the hCG ratio is ≥2 and if the patient does not have clinical symptoms like vaginal bleeding and groin pain. This potentially reduces the need for repeat ultrasound scans to determine viability. In women with PUL, diagnostic strategies using serum hCG ratios have the best diagnostic performance in the case of ectopic pregnancy (3).