Pregnancy of unknown location is defined as a pregnancy where intrauterine or ectopic location cannot be confirmed. If the location cannot be definitively determined
Pregnancy of unknown location (PUL) is defined as the situation when the pregnancy test is positive but there are no signs of intrauterine pregnancy or an extrauterine pregnancy via transvaginal ultrasonography (TVUS). It should be noted that PUL does not mean an ectopic pregnancy (EP).
What do you do when you take a positive pregnancy test?
'Pregnancy of Unknown Location' (PUL) is a term used to classify a pregnancy when an internal (transvaginal) scan has been performed and no pregnancy has been visualised either inside or outside the womb. You may have gone to the doctor with a positive pregnancy test, abdominal pain and/or vaginal bleeding.
Serum progesterone levels are a satisfactory marker of pregnancy viability, but they are unable to predict the location of a pregnancy of unknown location: levels below 5 ng/mL are associated with nonviable gestations, whereas levels above 20 ng/mL are correlated with viable intrauterine pregnancies.
If the pregnancy is incidental to an encounter for a different reason, code Z33. 1 (pregnant state, incidental) is assigned in place of any Chapter 15 codes. When treating the pregnant member, the codes in Chapter 15 of the ICD-10 codes set are applied before codes from other chapters.
The only exception to this is if a pregnant woman is seen for an unrelated condition. In such cases, code Z33. 1 Pregnant State, Incidental should be used after the primary reason for the visit.
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.
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 .
Pregnancy with inconclusive fetal viability, not applicable or unspecified 1 O36.80X0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Pregnancy w inconclusive fetal viability, unsp 3 The 2021 edition of ICD-10-CM O36.80X0 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of O36.80X0 - other international versions of ICD-10 O36.80X0 may differ.
Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days. 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days. 3rd trimester- 28 weeks 0 days until delivery. Type 1 Excludes. supervision of normal pregnancy ( Z34.-)
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.
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.
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.
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.
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.
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.
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.
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.