B06. 9 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 B06.
chapter 15Obstetric 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: O00–O08, Pregnancy with abortive outcome. O09, Supervision of high-risk pregnancy.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
Rubella [German measles] ICD-10-CM B06. 89 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
ICD-10 code O80 for Encounter for full-term uncomplicated delivery is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
Outcome of Delivery (Z37.-) An outcome of delivery code from category Z37 should be assigned for every delivery admission and only on the delivery admission, never for subsequent admissions. These codes are only for use on the mother's record (ICD-10-CM Coding Guideline I.C. 15. b.
89 – persons encountering health serviced in other specified circumstances” as the primary DX for new patients, he is using the new patient CPT.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
Encounter for other specified special examinationsZ0189 - ICD 10 Diagnosis Code - Encounter for other specified special examinations - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians.
Answer: You should go with O09. 89 (Supervision of other high risk pregnancies) as this fact puts her at risk for fetal issues should she be exposed to Rubella. Heads up: You should report this code for antepartum visits.
If a pregnant woman is not immune to rubella and catches it during the first 5 months of pregnancy, she usually passes the disease on to her fetus. If the fetus gets rubella during the first 12 weeks of pregnancy, the baby will likely be born with many problems.
Rubella IgG antibody can be formed following rubella infection or after rubella vaccination. A reactive result is consistent with immune status to rubella virus. Non-reactive and equivocal results flag as abnormal in Epic which indicates non-immune or equivocal immune status to rubella.