Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester
The copper IUD (ParaGard) should not be used if you have:
O00. 01 - Abdominal pregnancy with intrauterine pregnancy | ICD-10-CM.
Intrauterine pregnancy is defined as a gestational sac that contains either a yolk sac or a fetal pole. This image shows the uterus in the longitudinal plane using an intracavitary probe with a clear yolk sac, making this a definitive IUP.
Encounter for supervision of normal pregnancy, unspecified, unspecified trimester. Z34. 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 Z34.
Exploring ICD-10-CM's Chapter 15: Pregnancy, Childbirth & the Puerperium.
Intrauterine means "inside the uterus."
A transvaginal scan (more sensitive than a transabdominal scan) can detect an intrauterine gestational sac at 4-5 weeks, an embryo at 5 weeks and fetal heart beat at 5 - 6 weeks of gestation at the earliest.
Final Character for Trimester. This new ICD-10-CM guideline for the final character indicates that many of the Chapter 15 codes specify the trimester of the pregnancy. A note at the beginning of Chapter 15 defines the timeframes for the three trimesters.
Pregnant state, incidental1 Pregnant state, incidental.
O99. 8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium.
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.
Encounter for cesarean delivery without indicationICD-10 code O82 for Encounter for cesarean delivery without indication is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
Code O80 should be assigned when a woman is admitted for a full-term normal delivery and delivers a signle, healthy infant without any complications antepartum, during the delivery or postpartum during the delivery episode. Code O80 is always a principal diagnosis.
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.
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.
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.
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.
Having a history of infertility, ectopic or molar pregnancies. Having a history of prior complicated pregnancy or pregnancies resulting in a pre-term delivery or a child with a genetic problem. Having a history of an in-utero procedure during previous pregnancy. Having social problems that is a threat to pregnancy.
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.
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.
O00.01 is a valid billable ICD-10 diagnosis code for Abdominal pregnancy with intrauterine pregnancy . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also:
Impression 2 - No sign of a fetal pole or yolk sac within the uterus. Tiny amount of fluid in the uterus may represent a pseudo-sac, very early intrauterine gestation or spontaneous abortion. Since no definite intrauterine gestation is seen ectopic pregnancy is not excluded.
The reason was to find out if she was really pregnant. Cannot use any of the impressions as none are a definitive diagnosis. The short answer is she was not pregnant for whatever reason at the time of the ultrasound. I would use code Z32.02 unless the physician can state it was something else.