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ICD-9-CM V23.49 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V23.49 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
Obstetrical Policy: ICD-10 Diagnosis Codes Page 9 of 14 UnitedHealthcare Oxford Policy Appendix: Applicable Code List Effective 10/11/2021 ©1996-2021, Oxford Health Plans, LLC ICD -10 Diagnosis Codes Obstetrical Related This list identifies ICD-10 diagnosis codes related to obstetrics. O22.40
If you look in your ICD-9 book at V28.3 it says it is for "routine fetal ultrasound NOS". I wouldn't use V22.1. For ob ultrasounds we use V28.3 for routine screenings as well. I am having a difference of opinion on the screening code for an OB US of a normal pregnancy.
EDITOR’S NOTE: This is the second and final installment in a two-part series on OB coding. Part I appeared in the Jan. 31, 2017 edition of ICD10monitor news. It is easy to identify an obstetrics inpatient who has delivered a child from the codes on her abstract. The primary diagnosis (PD) is always an “O” (for obstetrics) code.
List of ICD-9 codes 630–679: complications of pregnancy, childbirth, and the puerperium. This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679.
Pregnancy with inconclusive fetal viability, not applicable or unspecified. O36. 80X0 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 O36.
Code O80 Encounter for full term uncomplicated delivery is assigned as the principal diagnosis for delivery admissions that meet the following criteria (ICD-10-CM Coding Guideline I.C. 15. n): Vaginal delivery at full term.
Small-for-dates (infant) P05. 10.
2022 ICD-10-CM Diagnosis Code Z36. 2: Encounter for other antenatal screening follow-up.
After 6 weeks, a normal fetal heart indicates a viable pregnancy. A fetal heart with no heartbeat at any point is called fetal demise. After 22-24 weeks, a viable pregnancy is when a baby has a chance to survive outside of the womb.
ICD-10 code Z3A. 39 for 39 weeks gestation of pregnancy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
When a woman goes into labor without the aid of any labor inducing drugs or methods, and is able to deliver the baby without requiring a doctor's aid through cesarean section, vacuum extraction, or with forceps, this is known as a normal spontaneous vaginal delivery (NSVD).
59400. Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps) and postpartum care.
Encounter for antenatal screening for uncertain dates Z36. Includes: Encounter for placental sample (taken vaginally) Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
If the doctor's documentation had just documented, “positive pregnancy test,” the code would be Z32. 01, Encounter for pregnancy test, result positive.
ICD-10 Code for Supervision of pregnancy resulting from assisted reproductive technology- O09. 81- Codify by AAPC.
ICD-10-CM Code for Encounter for supervision of normal pregnancy, unspecified, unspecified trimester Z34. 90.
As a result the simple ICD-9-CM procedure code for labor induction, 73.4 (“Medical Induction of Labor”) has been replaced with the rather generic and opaque ICD-10-PCS procedure code: 3E033VJ (“Introduction of other hormone into peripheral vein, percutaneous approach”).
Z38.00ICD-10 code Z38. 00 for Single liveborn infant, delivered vaginally is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z37. 0 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 Z37.
There are O codes indicating that a condition in any other body system is impacting the pregnancy. If the rest of Chapter 15 doesn’t have a specific code, numerous “obstetric conditions not elsewhere classified which are complicating pregnancy, childbirth, and the puerperium” can be found in O94-O9A.
As an example, a patient in the third trimester who was involved in a motor vehicle collision and brought in for observation who went on to deliver would warrant the “O9A.22, Injury, poisoning, and certain other consequences of external causes complicating childbirth” code. You then would add the codes that told the remainder of the story: what was injured, the circumstances of the incident, the outcome of the delivery, how many weeks pregnant she was, how she delivered, whether there any other complications, etc.
If there is no indication (or more precisely, no medical indication –“OB going on vacation next week” probably isn’t really a legitimate indication), “O82, Encounter for cesarean delivery without indication” is the code.
The last pieces of information that should be on every record with a delivery are an outcome of delivery code from Z37 and a listing of weeks of gestation designation from Z3A. The exception to this is when a patient delivers prior to admission to the hospital. In that case, you only use Z39.0, Encounter for care and examination of mother immediately after delivery, since she didn’t actually deliver during this admission and wasn’t technically pregnant during this admission.
Did complications arise during the delivery or in the postpartum period (defined as from delivery to six weeks post-term)? “Puerperium” means the period between childbirth and the return of the uterus to its normal size. Be sure to select the correct code that designates trimester in childbirth (during labor), or in puerperium (postpartum).
The key is to think about how the situation unfolded and to be able to compliantly code it. This may take querying of a group of providers who we really never asked anything of before, and who will need some training as to how to respond.
O32.1XX0, Maternal care for breech presentation, not applicable or unspecified (fetus) versus O64.1XX0, Obstructed labor due to breech presentation, not applicable or unspecified (fetus).
23-week maternity patient admitted for IV fluids due to vomiting related to the pregnancy – Code to O21.2, Late vomiting of pregnancy.
A patient with a history of hypothyroidism who is maintained on Synthroid delivers a healthy full-term baby – Add codes O99.284 (Endocrine, nutritional and metabolic diseases complicating childbirth) + E03.9 (hypothyroidism)
Mother presents at 27 weeks with premature rupture of membranes 30 hours prior and onset of labor 2 hours ago – code to O42.112, Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester.