ICD-9-CM offers two codes to report routine, outpatient visits for uncomplicated prenatal care. As shown in the following code comparison, ICD-10-CM includes 12 codes, four of which are unspecified. A code from category Z34 should be assigned as the first-listed diagnosis for routine obstetric care.
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 2019 edition of ICD-10-CM Z34.90 became effective on October 1, 2018.
2018/2019 ICD-10-CM Diagnosis Code O09.30. Supervision of pregnancy with insufficient antenatal care, unspecified trimester. O09.30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
A code from category Z34 should be assigned as the first-listed diagnosis for routine obstetric care. Code Z34.00 should not be used after a due date has been determined, but can be used when there are unknown dates.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester | ICD-10-CM.
ICD-10-CM Code for Encounter for supervision of normal pregnancy, unspecified Z34. 9.
2022 ICD-10-CM Diagnosis Code Z34: Encounter for supervision of normal pregnancy.
ICD-10 Code for Supervision of pregnancy with insufficient antenatal care- O09. 3- Codify by AAPC.
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.
xx, Encounter for supervision of normal pregnancy, is used for a routine outpatient diagnostic visit when no obstetrical complication or condition codes found in Chapter 15, Pregnancy, Childbirth and the Puerperium are applicable to the encounter.
Encounter for supervision of normal pregnancy, unspecified90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.
Encounter for supervision of other normal pregnancy82 Encounter for supervision of other normal pregnancy, second trimester.
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.
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.
Use CPT Category II code 0500F (Initial prenatal care visit) or 0501F (Prenatal flow sheet documented in medical record by first prenatal visit).
Primary care physicians providing only prenatal care should bill for the prenatal visits they have provided using CPT Code 59425 (antepartum care only; 4 to 6 visits) or CPT Code 59426 (antepartum care only; 7 or more visits), and will be reimbursed according to Aetna's fee schedule.
Encounter for supervision of normal pregnancy, unspecified, unspecified trimester 1 Z34.90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Encntr for suprvsn of normal pregnancy, unsp, unsp trimester 3 The 2021 edition of ICD-10-CM Z34.90 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z34.90 - other international versions of ICD-10 Z34.90 may differ.
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:
The 2021 edition of ICD-10-CM Z36 became effective on October 1, 2020.
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed.
ICD-9-CM codes from category V23 describe supervision of high-risk pregnancies, and should be used as the first-listed diagnosis. There are a total of 18 codes available for reporting high-risk prenatal care in ICD-9-CM.#N#In ICD-10-CM, the sequencing for the first-listed diagnosis is slightly different. Prenatal outpatient visits for high-risk patients should be reported with a code from category O09 Supervision of high-risk pregnancy and should be the first-listed diagnosis. Of the 60 codes available for reporting high-risk prenatal care in ICD-10, here are a few examples:#N#ICD-9: V23.0 Pregnancy with history of infertility#N#ICD-10: Supervision of pregnancy with history of infertility
As well, certain codes have characters for only certain trimesters because the condition does not occur in all trimesters.
When a woman is admitted to the hospital for complications of pregnancy during one trimester, and remains in the hospital into a subsequent trimester, the trimester character for the antepartum complication code should be assigned based on when the complication developed, not the trimester at the time discharge.
A code from category Z34 should be assigned as the first-listed diagnosis for routine obstetric care. Code Z34.00 should not be used after a due date has been determined, but can be used when there are unknown dates. These women are usually scheduled for an ultrasound to determine gestational age.
For example, pre-eclampsia cannot occur before the 20th week of pregnancy (as such, there is no code to report first trimester): O14.0- Mild to moderate pre-eclampsia. O14.00 unspecified trimester. O14.02 second trimester. O14.03 third trimester.
It may be easier, but it may not always be reimbursed.