When a pregnant patient is admitted, codes from ICD-9-CM chapter 11 (code range 630 to 679) are required. Look up medical codes using a keyword or a code. 9 . Management of Late-Term and Postterm Pregnancies. The ICD-10-CM coding guideline for alcohol use states that codes from subcategory O99.31, Alcohol use complicating pregnancy, childbirth, and the puerperium, should be assigned for any pregnancy case when a mother uses alcohol during the pregnancy or postpartum. The Royal College of Obstetricians and Gynaecologists (RCOG)/National Institute for Health and Care Excellence (NICE) guidelines recommend that women should be offered induction after 41 weeks between 41+0 and 42+0 weeks to avoid the risks of post-term pregnancy, primarily increased intrauterine fetal death.

Pregnancy, Childbirth, and the Puerperium (Chapter 15) Chapter 15 of ICD-10-CM is titled "Pregnancy, Childbirth, and the Puerperium," which includes categories O00-O99. The mean duration of a normal pregnancy, calculated from the 1st day of the last menstrual period, is 280 days or 40 + 0 weeks of gestation (GW).A pregnancy prolonged by more than 14 days, in other words, a pregnancy lasting 294 days or 42 + 0 GW or more, is defined by the WHO and FIGO as prolonged, post-term or post-mature pregnancy. Yes, combination codes, at times, will report the same information in one code rather than two codes required in … Revised guidelines on when and how to induce labor in pregnant women have been issued by The American College of Obstetricians and Gynecologists (ACOG). If the complication was a pre-existing condition, having developed prior to this admission, … 24 ICD-10-CM Overview and Coding Guidelines Code listed next to a main term in the ICD-10-CM Index is referred to as a ... complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16) ICD-10-Conventions . April 13, 2009. Review of Pregnancy Coding Guidelines For The Record Vol. Chapter overview .

When ICD-10-CM guidelines are revised to reflect this, it will likely cause a DRG shift because “O48.0, Post-term pregnancy” is a valid reason for admission for IOL, and additional diagnoses often risk-adjust the DRG. Official coding guidelines When a pregnant patient is admitted into the hospital, her inpatient stay might cover two trimesters. Weinstein D, Ezra Y, Picard R, et al. The ICD-10-CM coding guideline for tobacco use states that codes from subcategory O99.33, Smoking (tobacco) complicating pregnancy, childbirth, and the puerperium, should be assigned for any pregnancy case when a mother uses any type of tobacco product during the pregnancy or postpartum.
It is found in the 2020 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2019 - Sep 30, 2020. By Ann Barta, MSA, RHIA.

Post-term - a gestational period over 40 completed weeks to 42 completed weeks. This guideline aims at providing criteria to select medicinal products for which active surveillance for collecting post-authorisation data in pregnancy is necessary. Obstetrics Coding and Documentation Reference Guide Global maternity care reporting services include pregnancy codes related to antepartum care, admission to the hospital for labor and delivery, management of labor (including fetal monitoring), delivery and postpartum (uncomplicated) care until six weeks postpartum.
↓ See below for any exclusions, inclusions or special notations 29 ICD-10-CM Overview and Coding Guidelines EXAMPLE: •J03 Acute tonsillitis Excludes2: chronic tonsillitis (J35.0) ICD-10-Conventions . Current guidelines indicate that ICD-9-CM code 648.21 is the principal diagnosis for a woman with a pregnancy complicated by anemia who undergoes a cesarean delivery due to fetal distress not present at admission, says Susan Proctor, RHIT, CCS, CPC, a coding consultant in Willits, Calif., and an AHIMA-certified ICD-10-CM/PCS trainer. ICD-9-CM Codes: Currently, you should report this condition with the following diagnosis codes: 645.10, Post term pregnancy, unspecified episode of care 645.11, ... delivered, with or [...]