what is the icd 10 code for high risk pregnancy carrier fragile x syndrom

by Gregg Schaefer PhD 6 min read

Q99. 2 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 Q99.

Full Answer

What is the ICD 10 code for genetic carrier of other disease?

Genetic carrier of other disease. Z14.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for high-risk pregnancy?

Supervision of high-risk pregnancy (ICD 10 Code range- O09.0- O09.93) A pregnancy is considered high-risk if the woman is- 17 years or younger 35 years or older

What is the ICD 10 code for chromosomal abnormality in fetus?

Maternal care for (suspected) chromosomal abnormality in fetus, not applicable or unspecified. O35.1XX0 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 O35.1XX0 became effective on October 1, 2018.

What is fragile X syndrome?

Fragile x syndrome is the most common form of inherited mental retardation. A problem with a specific gene causes the disease. Normally, the gene makes a protein you need for brain development. But the mutation causes a person to make little or none of the protein, which results in the symptoms of fragile x.

What is the ICD 10 code for fragile X syndrome?

ICD-10-CM Code for Fragile X chromosome Q99. 2.

What is the ICD 10 code for high risk pregnancy?

O09. 90 - Supervision of high risk pregnancy, unspecified, unspecified trimester. ICD-10-CM.

What is the ICD 10 code for SMA carrier in pregnancy?

2XX0: Maternal care for (suspected) hereditary disease in fetus, not applicable or unspecified.

What is diagnosis code Z13 79?

ICD-10 code Z13. 79 for Encounter for other screening for genetic and chromosomal anomalies is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

How can I bill a high risk pregnancy?

For high-risk and complications of pregnancy, use the code from Chapter 15, another code for pre-existing conditions, if any, and the weeks of gestation code. It would seem that if your Medicaid program wants the visits billed as they happen, it is more likely that you'll be paid.

What is ICD code for pregnancy?

90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.

What is code Z31 430?

ICD-10 code Z31. 430 for Encounter of female for testing for genetic disease carrier status for procreative management is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for genetic disease carrier?

"Z14. 8 - Genetic Carrier of Other Disease." ICD-10-CM, 10th ed., Centers for Medicare and Medicaid Services and the National Center for Health Statistics, 2018.

What is the code for SMA?

G12. 9 - Spinal muscular atrophy, unspecified. ICD-10-CM.

What is procedure code 81420?

81420: Fetal chromosomal aneuploidy (e.g., trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21.

What is the ICD-10 code for advanced maternal age?

O09. 521 is applicable to maternity patients aged 12 - 55 years inclusive.

Is CPT 81420 genetic testing?

Sequencing-based non-invasive prenatal testing (NIPT) (CPT® codes 81420, 81507) to screen for fetal trisomy 13, 18 and 21 is considered medically necessary in a viable single or twin gestation pregnancy ≥ 10 weeks gestation.

What is fragile x syndrome?

Fragile x syndrome is the most common form of inherited mental retardation. A problem with a specific gene causes the disease. Normally, the gene makes a protein you need for brain development. But the mutation causes a person to make little or none of the protein, which results in the symptoms of fragile x.

What is the genetic cause of mental retardation?

A genetic syndrome caused by mutations in the fmr1 gene which is responsible for the expression of the fragile x mental retardation 1 protein. This protein participates in neural development. This syndrome is manifested with mental, emotional, behavioral, physical, and learning disabilities. An inherited disease characterized by the presence ...

Can fragile x be treated?

social and emotional problems, such as aggression in boys or shyness in girls. speech and language problems, especially in boys. fragile x has no cure. You can treat some symptoms with educational, behavioral or physical therapy, and with medicines.

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.

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 Galactorrhea?

Galactorrhea. Other obstetric conditions, not elsewhere classified (Code range O94-O9A) Sequelae (Late effects) of complication of pregnancy, childbirth, and the puerperium (O94)- Includes conditions or late effects that may occur any time after the puerperium.

What is the code for velamentous insertion of the umbilical cord?

Morbidly adherent placenta (Placenta accrete, Placenta increta, Placenta percreta) Placental infarction. Placenta previa (Code range O44.00- O44.53)- Condition in which the placenta is implanted in the lower parts of the uterus.

What is the code for HELLP?

HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome – (Code range O14.20- O14.25) – A very rare condition seen in pregnant patients mostly with pre-eclampsia usually before the 37 th week of pregnancy.

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 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 fragile X syndrome?

Fragile X syndrome is the most common form of inherited intellectual and developmental disability (IDD) People with Fragil e X syndrome may not have noticeable symptoms, or they can have more serious symptoms that range from learning disabilities to cognitive and behavior problems.

How old is a baby with fragile X?

By the time infants with Fragile X syndrome reach 2 years old, they have a distinct pattern of brain abnormalities. Two-year-olds who have both Fragile X and an autism spectrum disorder (ASD) also have their own unique pattern. 3, 4.

What causes Fragile X?

The mutation causes the body to make only a little bit or none of the protein, which can cause the symptoms of Fragile X. In a gene, the information for making a protein has two parts: the introduction, and the instructions for making the protein itself.

What can a child with fragile X benefit from?

Educational Treatments. Most children with Fragile X can benefit from special education services that are tailored to their particular strengths and weaknesses. Educational treatments should take the child’s specific symptoms of Fragile X into account to promote the best learning environment.

What can a health care provider do if a child has fragile X syndrome?

A health care provider can perform developmental screening to determine the nature of delays in a child. If a health care provider suspects the child has Fragile X syndrome, he/she can refer parents to a clinical geneticist, who can perform a genetic test for Fragile X syndrome. 2.

Can you pass Fragile X syndrome to your children?

Fragile X syndrome is inherited, which means it is passed down from parents to children. Anyone with the FMR1 gene mutation can pass it to their children. However, a person who inherits the gene mutation may not develop Fragile X syndrome. Males will pass it down to all of their daughters and not their sons.

Can a male pass FMR1 to a female?

Males will pass it down to all of their daughters and not their sons. Females have a 50/50 chance to pass it along to both their sons and daughters. In some cases, an FMR1 premutation can change to a full mutation when it is passed from parent to child.

When was the cytogenetic analysis for fragile X syndrome first available?

Cytogenetic analysis for fragile X syndrome was first available in the late 1970s when diagnosis of the syndrome and carrier status could be determined by culturing cells in a folate deficient medium and then assessing for " fragile sites " (discontinuity of staining in the region of the trinucleotide repeat) on the long arm of the X chromosome. This technique proved unreliable, however, as the fragile site was often seen in less than 40% of an individual's cells. This was not as much of a problem in males, but in female carriers, where the fragile site could generally only be seen in 10% of cells, the mutation often could not be visualised.

Why is fragile X important?

Early diagnosis of fragile X syndrome or carrier status is important for providing early intervention in children or fetuses with the syndrome, and allowing genetic counselling with regards to the potential for a couple's future children to be affected.

What is the risk of premutation alleles?

Individuals who are carriers of premutation alleles are at risk for developing fragile X-associated tremor/ataxia syndrome (FXTAS), a progressive neurodegenerative disease. It is seen in approximately half of male carriers over the age of 70, while penetrance in females is lower.

What is the most common psychiatric diagnosis for FXS?

Attention deficit hyperactivity disorder (ADHD) is found in the majority of males with FXS and 30% of females, making it the most common psychiatric diagnosis in those with FXS. Children with fragile X have very short attention spans, are hyperactive, and show hypersensitivity to visual, auditory, tactile, and olfactory stimuli. These children have difficulty in large crowds due to the loud noises and this can lead to tantrums due to hyperarousal. Hyperactivity and disruptive behavior peak in the preschool years and then gradually decline with age, although inattentive symptoms are generally lifelong.

How many repeats are there in fragile X syndrome?

Normally, there are between 5 and 40 repeats; fragile X syndrome occurs with more than 200. A premutation is said to be present when the gene has between 40 and 200 repeats; women with a premutation have an increased risk of having an affected child. Testing for premutation carriers may allow for genetic counseling.

What is X-associated tremor/ataxia syndrome?

Individuals with fragile X-associated tremor/ataxia syndrome (FXTAS) are likely to experience combinations of dementia, mood, and anxiety disorders.

Is fragile X syndrome genetic?

Fragile X syndrome co-occurs with autism in many cases and is a suspected genetic cause of the autism in these cases. This finding has resulted in screening for FMR1 mutation to be considered mandatory in children diagnosed with autism. Of those with fragile X syndrome, prevalence of concurrent autism spectrum disorder (ASD) has been estimated to be between 15 and 60%, with the variation due to differences in diagnostic methods and the high frequency of autistic features in individuals with fragile X syndrome not meeting the DSM criteria for an ASD.

What is Fragile X syndrome?

Fragile-X Syndrome. In addition to being associated with characteristic physical and behavioural features, Fragile-X syndrome causes intellectual disabilities ranging from mild to severe. It is the most common cause of inherited intellectual disability and is second only to Down's syndrome as the most common genetic cause of intellectual disability.

What percentage of women with a full mutation have IQs in the borderline or mild intellectual disability range?

Females: Approximately 50 percent of women with the full mutation have IQs in the borderline or mild intellectual disability range (Hagerman et al., 1992). Affected females without intellectual disability may have specific deficits in the areas of attention, visuo-spatial skills and executive functions.

What is FXS in genetics?

FXS is an X-linked semi-dominant condition with reduced penetrance. It is caused by an expansion of an unstable CGG trinucleotide repeat in the fragile X gene (FMR-1). In addition to being associated with characteristic physical and behavioural features, causes intellectual disability ranging from mild to severe.

Is Down syndrome inherited?

It is the most common cause of inherited intellectu al disability and is second only to Down’s syndrome as the most common genetic cause of intellectu al disability. There is a wide spectrum of clinical features, but life expectancy is not greatly reduced. Epidemiology.