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Z34.91 is applicable to maternity patients aged 12 - 55 years inclusive. Z34.91 is applicable to female patients. Z34.91 is applicable to mothers in the first trimester of pregnancy, which is defined as less than 14 weeks since the first day of the last menstrual period.
- Z34.90
Short description: Encntr for suprvsn of normal pregnancy,...
- Pregnancy, Childbirth and The Puerperium
Look up free coding details for ICD-10 code range O00-O9A...
- O26.891
O26.891 is a billable/specific ICD-10-CM code that can be...
- Z34.90
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- A. General Rules For Obstetric Cases
- B. Selection of Ob Principal Or first-listed Diagnosis
- C. Pre-Existing Conditions Versus Conditions Due to The Pregnancy
- D. Pre-Existing Hypertension in Pregnancy
- E. Fetal Conditions Affecting The Management of The Mother
- F. HIV Infection in Pregnancy, Childbirth and The Puerperium
- G. Diabetes Mellitus in Pregnancy
- H. Long Term Use of Insulin and Oral Hypoglycemics
- I. Gestational (Pregnancy induced) Diabetes
- K. Puerperal Sepsis
1) Codes from chapter 15 and sequencing priority
Obstetric cases require codes from chapter 15, codes in the range O00-O9A, Pregnancy, Childbirth, and the Puerperium. Chapter 15 codes have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in conjunction with chapter 15 codes to further specify conditions. Should the provider document that the pregnancy is incidental to the encounter, then code Z33.1, Pregnant state, incidental, should be used in place of any chapter 15 codes. It is the prov...
2) Chapter 15 codes used only on the maternal record
Chapter 15 codes are to be used only on the maternal record, never on the record of the newborn.
3) Final character for trimester
The majority of codes in Chapter 15 have a final character indicating the trimester of pregnancy. The timeframes for the trimesters are indicated at the beginning of the chapter. If trimester is not a component of a code, it is because the condition always occurs in a specific trimester, or the concept of trimester of pregnancy is not applicable. Certain codes have characters for only certain trimesters because the condition does not occur in all trimesters, but it may occur in more than just...
1) Routine outpatient prenatal visits
For routine outpatient prenatal visits when no complications are present, a code from category Z34, Encounter for supervision of normal pregnancy, should be used as the first-listed diagnosis. These codes should not be used in conjunction with chapter 15 codes.
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 complications during the labor or delivery episode as a result of a high-risk pregnancy, assign the applicable complication codes from Chapter 15. If there are no complications during the labor or delivery episode, assign code O80, Encounter for full-term uncomplicated delivery. For routine prenatal outpatient visits for patients with high-risk pregnancies, a code from catego...
3) Episodes when no delivery occurs
In episodes when no delivery occurs, the principal diagnosis should correspond to the principal complication of the pregnancy which necessitated the encounter. Should more than one complication exist, all of which are treated or monitored, any of the complications codes may be sequenced first.
Certain categories in Chapter 15 distinguish between conditions of the mother that existed prior to pregnancy (pre-existing) and those that are a direct result of pregnancy. When assigning codes from Chapter 15, it is important to assess if a condition was pre-existing prior to pregnancy or developed during or due to the pregnancy in order to assig...
Category O10, Pre-existing hypertension complicating pregnancy, childbirth and the puerperium, includes codes for hypertensive heart and hypertensive chronic kidney disease. When assigning one of the O10 codes that includes hypertensive heart disease or hypertensive chronic kidney disease, it is necessary to add a secondary code from the appropriat...
1) Codes from categories O35 and O36
Codes from categories O35, Maternal care for known or suspected fetal abnormality and damage, and O36, Maternal care for other fetal problems, are assigned only when the fetal condition is actually responsible for modifying the management of the mother, i.e., by requiring diagnostic studies, additional observation, special care, or termination of pregnancy. The fact that the fetal condition exists does not justify assigning a code from this series to the mother's record.
2) In utero surgery
In cases when surgery is performed on the fetus, a diagnosis code from category O35, Maternal care for known or suspected fetal abnormality and damage, should be assigned identifying the fetal condition. Assign the appropriate procedure code for the procedure performed. No code from Chapter 16, the perinatal codes, should be used on the mother's record to identify fetal conditions. Surgery performed in utero on a fetus is still to be coded as an obstetric encounter.
During pregnancy, childbirth or the puerperium, a patient admitted because of an HIV-related illness should receive a principal diagnosis from subcategory O98.7-, Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium, followed by the code(s) for the HIV-related illness(es). Patients with asymptomatic HIV infecti...
Diabetes mellitus is a significant complicating factor in pregnancy. Pregnant women who are diabetic should be assigned a code from category O24, Diabetes mellitus in pregnancy, childbirth, and the puerperium, first, followed by the appropriate diabetes code(s) (E08-E13) from Chapter 4.
Code Z79.4, Long-term (current) use of insulin, or code Z79.84, Long-term (current) use of oral hypoglycemic drugs, should also be assigned if the diabetes mellitus is being treated with insulin or oral medications. If the patient is treated with both oral medications and insulin, only the code for insulin-controlled should be assigned.
Gestational (pregnancy induced) diabetes can occur during the second and third trimester of pregnancy in women who were not diabetic prior to pregnancy. Gestational diabetes can cause complications in the pregnancy similar to those of pre-existing diabetes mellitus. It also puts the patient at greater risk of developing diabetes after the pregnancy...
Code O85, Puerperal sepsis, should be assigned with a secondary code to identify the causal organism (e.g., for a bacterial infection, assign a code from category B95-B96, Bacterial infections in conditions classified elsewhere). A code from category A40, Streptococcal sepsis, or A41, Other sepsis, should not be used for puerperal sepsis. If applic...
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,
Searches related to 36 weeks pregnant icd 10 first trimester
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www.aapc.com · blog · 27123-featured-article-icd-10FEATURED ARTICLE: ICD-10-CM Coding for Obstetrics
Apr 11, 2014 · Z3A.36 36 weeks gestation of pregnancy. Documentation supports a monochorionic (one placenta) and diamniotic (2 amniotic sacs) twin gestation at 36 weeks. Working with your physicians to insure documentation will support the specificity of the ICD-10-CM code set may not be as difficult as anticipated.
O26.891 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth pregnancy related conditions, first trimester. The 2024 edition of ICD-10-CM O26.891 became effective on October 1, 2023.
Honing in on 10 specific ICD codes for pregnancy in the first trimester can unveil crucial insights for optimal maternal care - are you ready to delve deeper?
