icd 10 code for seizure in pregnancy

by Jillian Anderson 4 min read

What is the ICD 10 code for IVF pregnancy?

Oct 01, 2021 · 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change 2018 (effective 10/1/2017): No change 2019 (effective 10/1/2018): No change 2020 (effective 10/1/2019): No change 2021 (effective 10/1/2020): No change 2022 (effective 10/1/2021): No ...

What is the diagnosis code for seizures?

2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Maternity Dx (12-55 years) ICD-10-CM Diagnosis Code O99.34. Other mental disorders complicating pregnancy, childbirth, and the puerperium. Oth mental disorders comp pregnancy, chldbrth, and the puerp; postpartum mood disturbance (O90.6); postnatal psychosis (F53.1); puerperal psychosis (F53.1); Conditions in …

What ICD 10 cm code(s) are reported?

Oct 01, 2021 · Other seizures G00-G99 2022 ICD-10-CM Range G00-G99 Diseases of the nervous system Type 2 Excludes certain conditions originating in... G40 ICD-10-CM Diagnosis Code G40 Epilepsy and recurrent seizures 2016 2017 2018 2019 2020 2021 2022... G40.8 ICD-10-CM Diagnosis Code G40.8 Other epilepsy and ...

What is the ICD 10 diagnosis code for?

Oct 01, 2021 · Diseases of the nervous system complicating the puerperium O99.355 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 O99.355 became effective on October 1, 2021. This is the American ICD-10-CM version of O99.355 - ...

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When are trimesters counted?

Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows:

How many weeks are in the first trimester?

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.-)

What is the O99.35?

O99.35 Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium. O99.350 Diseases of the nervous system complicating pregnancy, unspecified trimester. O99.351 Diseases of the nervous system complicating pregnancy , first trimester.

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.

Is it difficult to code for pregnancy?

Coding for Pregnancy is sometimes difficult as there are multiple factors that need to be taken into consideration like the trimester, fetus identification, whether it is a high risk pregnancy or a normal pregnancy and other additional code like the code for the weeks of gestation from chapter 22.

What is the code for a hospital visit that is not pregnancy related?

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.

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 chapter 15?

The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records. Any complications or conditions arising due to pregnancy, childbirth or puerperium should be coded using the codes from this chapter.

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 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.

How many weeks are in the first trimester?

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.-)

What is a puerperal convulsion?

A potentially life-threatening disorder in pregnant or puerperal women manifested by convulsions in association with hypertension, edema, and/or proteinuria. Convulsions and coma occurring in pregnant or puerperal women, associated with hypertension, edema, and proteinuria.

The ICD code O15 is used to code Eclampsia

Eclampsia is the onset of seizures (convulsions) in a woman with pre-eclampsia. Pre-eclampsia is a disorder of pregnancy in which there is high blood pressure and either large amounts of protein in the urine or other organ dysfunction. Onset may be before, during, or after delivery. Most often it is during the second half of pregnancy.

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code O15.03 and a single ICD9 code, 642.63 is an approximate match for comparison and conversion purposes.

INTRODUCTION

The evaluation and management of epilepsy during pregnancy is complex, requiring coordinated care between the neurologist and obstetrician. 1,2 Given the complexity of these conditions, the American Academy of Neurology has developed guidelines to assist neurologists in developing comprehensive plans for such patients.

PROPER EVALUATION AND MANAGEMENT CODING

Epilepsy patients, particularly when pregnant, require a level of complexity and extra time spent in their care that qualifies them for higher levels of medical decision making and increased levels of service. This is also true for patients with other neurologic diseases affecting or affected by the pregnancy.

DIAGNOSIS CODING

The Official Guidelines for Coding and Reporting for both International Classification of Diseases, Ninth Revision, Clinical Modification ( ICD-9-CM) and International Classification of Diseases, 10th Revision, Clinical Modification ( ICD-10-CM) have special sequencing instructions for coding of patient visits during pregnancy.

CASE EXAMPLES

A 24-year-old woman with a history of localization-related epilepsy and rare secondary generalization controlled on levetiracetam, came for consultation (requested by her internist) and advice on whether she should remain on or change her medication, since she had recently married and was planning to have children.

Coding Case 2

A 28-year-old pregnant woman with epilepsy was admitted to the hospital for non-neurologic complications of the second trimester of her pregnancy. She had a seizure while hospitalized, and a neurologist who had not seen her before was asked to consult. Her epilepsy had previously been well controlled.

REFERENCES

1. Harden CL, Hopp J, Ting TY, et al.

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