The code O09.219 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code O09.219 might also be used to specify conditions or terms like high risk pregnancy or high risk pregnancy due to history of preterm labor.
Risk factors for a high-risk pregnancy can include:
What are the major causes of a high-risk pregnancy?
O09. 90 - Supervision of high risk pregnancy, unspecified, unspecified trimester | ICD-10-CM.
ICD-10 code Z32. 01 for Encounter for pregnancy test, result positive is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Exploring ICD-10-CM's Chapter 15: Pregnancy, Childbirth & the Puerperium.
A high-risk pregnancy is a pregnancy that involves increased health risks for the pregnant person, unborn baby or both. Certain health conditions and your age (being over 35 or under 17 when pregnant) can make a pregnancy high risk. These pregnancies require close monitoring to reduce the chance of complications.
9.
9: Antenatal screening, unspecified.
Should the provider specify that the pregnancy is incidental to the encounter, ICD-10-CM code Z33. 1 (pregnancy state, incidental) should be used in place of ICD-10-CM codes O00-O9A. Include the condition being treated and document that it is not affecting the pregnancy.
Pregnancy related conditions, unspecified, unspecified trimester. O26. 90 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 O26.
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 .
The majority of pregnancies are considered low-risk. This means that there are no active complications and that there are no maternal or fetal factors that place the pregnancy at increased risk for complications. The obstetrical care providers at UCSF care for many patients with low-risk pregnancies.
Risk factors for a high-risk pregnancy can include: Existing health conditions, such as high blood pressure, diabetes, or being HIV-positive. Overweight and obesity. Obesity increases the risk for high blood pressure, preeclampsia, gestational diabetes, stillbirth, neural tube defects, and cesarean delivery.
RE: basic anatomy 76805 Z36. 3 (Encounter for antenatal screening for malformations) is the appropriate ICD-10 to use with 76805.
ICD-10 code Z36, Encounter for antenatal screening of mother, is used when screening for the testing of disease or disease precursor is performed in patients who are seemingly well for the purpose of early detection and treatment.
Chapter 15 codes have sequencing priority over codes from all 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.
CPT Code 76811, Detailed Fetal Anatomic Ultrasound.
A high-risk pregnancy is a threat to the health and the life of the mother and the fetus.
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.
Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (Code range- O10.011-O10.93) – A pregnancy complication arising due to the patient being hypertensive, having proteinuria (increased levels of protein in urine), hypertensive heart disease, hypertensive CKD or both prior to the pregnancy.
Complications following (induced) termination of pregnancy (Code range- O04.5 – O04.89) – This includes the complications followed by abortions that are induced intentionally.
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.
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.
For routine prenatal outpatient visits for patients with high-risk pregnancies, a code from category O09, Supervision of high-risk pregnancy, should be used as the first-listed diagnosis. Secondary chapter 15 codes may be used in conjunction with these codes if appropriate.
1) - Routine outpatient prenatal visits. 2) Supervision of High- Risk Pregnancy - codes from category O09, Supervision of high-risk pregnancy, are intended for use only during the prenatal period. . . . . . . For routine prenatal outpatient visits for patients with high-risk pregnancies, a code from category O09, Supervision of high-risk pregnancy, ...
As to your second question, unless "high risk pregnancy" is documented, I wouldn't use it. The O30.__ for multiple gestation is correct. Hope this helps,
O09.89_ is not a history code. This is for the current supervision of a "other" high risk pregnancy.
So you would bill the O09 prior to the use of the multiple gestation code.