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  1. Codes from category Z3A are for use, only on the maternal record, to indicate the weeks of gestation of the pregnancy, if known. Code First. obstetric condition or encounter for delivery ( O09 - O60, O80-O82) Codes. Z3A Weeks of gestation. Z3A.0 Weeks of gestation of pregnancy, unspecified or less than 10 weeks.

    • Z3a.20

      Z3A.20 is a billable/specific ICD-10-CM code that can be...

    • Z32.00

      Encounter for assisted reproductive fertility procedure...

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  3. Encounter for assisted reproductive fertility procedure cycle. Encounter for pregnancy test and childbirth and childcare instruction. Encounter for supervision of normal first pregnancy. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

  4. ICD-10-CM: general coding and documentation: • Conditions that affect the management of pregnancy, childbirth, and the puerperium are classified in categories O00 through O9A in Chapter 15 of the ICD-10-CM. • If the pregnancy is incidental to an encounter for a different reason, code Z33.1 (pregnant state,

  5. Look up free coding details for ICD-10 code range O00-O9A that cover Pregnancy, childbirth and the puerperium.

    • Pregnancy Affects Medical Decision Making
    • Developing Conditions May Affect Coding
    • Patient Behavior May Affect Pregnancy Status
    • Don’T Forget Trimester Coding
    • Age Can Be A Factor
    • Why It All Matters
    • Tips For Improvement

    When a patient is pregnant, anything done for the mother may affect the baby. This, in turn, affects the provider’s medical decision making (MDM), as does any condition(s) the mother had prior to her pregnancy. Not only must the providers account for pre-existing conditions, you must be sure they are coding that information. For example, if a woman...

    Coding may change for a patient depending on whether a condition was present before pregnancy, occurred during pregnancy, or is a result/complication of pregnancy, or if a new condition or injury develops for the mother. For example, coding for hypertension (HTN) that develops during pregnancy (gestational HTN, O13.1- O13.5) is different than codin...

    Anything a patient experiences — a cold, a slip and fall resulting in a sprained ankle, an asthma attack, having champagne on New Year’s Eve — may require code(s) from category O09 Supervision of high risk pregnancy. ICD-10 chapter 15 guidelines tell us that if the patient used any drug or alcohol during her pregnancy, use the appropriate codes fro...

    Providers should document the specific weeks of gestation. If they fail to do so, report Z3A.00 Weeks of gestation of pregnancy not specified. Capturing this diagnosis specificity is imperative. Quality measures are developed using this type of information. For example, suppose everyone uses the normal pregnancy code. Suddenly, patients’ deliveries...

    Don’t forget about the age of your pregnant patient: Is she under 16 years of age, or over 35 years of age (or will be, at the time of expected delivery)? In such cases, a high-risk code for “young” or “elderly” mother must be assigned.

    Many people think the only reason we code services is to get reimbursed. This is one reason, but it’s not the only reason. Accurate coding matters because many organizations and associations gather this information and track the patterns of complications, whether in the mother, the fetus, or both. For example, per the Centers for Disease Control an...

    Many hospitals have clinical documentation improvement(CDI) programs for pregnancy inpatient visits; however, the industry sees a need for documentation improvement in provider and outpatient services, as well. If a documentation improvement program is not an option, there are internal measures you can take (these suggestions would benefit large en...

  6. 3 days ago · There were several additions in other chapters of ICD-10-CM that may be of interest to Maternal Fetal Medicine physicians. Those codes, along with relevant explanations are as follows: New Code (s) Description. Explanation. E10.A0. Type 1 diabetes mellitus, presymptomatic, unspecified. E10.A1.

  7. May 10, 2022 · Ob-Gyn Coding Alert. You Be the Coder: Pregnancy Confirmation. Published on Tue May 10, 2022. Question: Can a provider bill a separate evaluation and management (E/M) service for confirmation of pregnancy, or is it considered to be initial OB?

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