ICD GUidelines Ch. 15 Pregnancy, Childbirth, & Puerperium Flashcards
newborn codes never go on
maternal records
1st trimester
0-14 weeks
2nd trimester
14-27 weeks
3rd trimester
28 weeks to delivery
normal pregnancy codes will never be used w/
high risk codes at the same time
any condition w/ pregnancy should be coded in the
pregnancy area
The last month of pregnancy to 5 months postpartum
peripartum
6 weeks after delivery
postpartum
standard prenatal visit
1st- Z34
not from ch. 15
pregnancy incident to encounter
1st-non pregnancy related condition
2nd- Z33.1 pregnant state no ch. 15 code
delivery via c- section
code circumstances causing the c-section
outcome of delivery
Z37
fetal condition hurting the mother code
1st- O35 or O36
in utero surgery
1st- O35 maternal care for known fetal abnormality
Admitted b/c of HIV in pregnancy w/ symptoms relating to the condition then code
1st- O98.7 (If HIV related)
2nd- B20 HIV
3rd- HIV related illness
HIV in pregnancy (asymptomatic) w/ unrelated condition then code
1st- O98.7 HIV complicated
2nd-Z21 Asymptomatic HIV
DM in pregnancy
1st-O24
2nd- E08- E13 appropriate DM code
3rd- Z79.4 insulin if applicable
Gestational diabetes
1st- O24.4 gestational dm
2nd- Z3A- weeks
Sepsis & Septic Shock in pregnancy
1st-appropriate code
2nd- Specify type infection
3rd- R65.2 ( if applicable)
4th- organ dysfunction ( if applicable)
Puerperal Sepsis
DONT use A40, A41 w/ puerperal sepsis
1st-O85/ puerperal sepsis
2nd- R65.2 (if severe sepsis), bacterial infection, severe
sepsis, or organ failure
3rd- organ dysfunction if applicable
Alcohol use in pregnancy
1st- alcohol use complicating
2nd- F10/ alcohol related disorders
tobacco in pregnancy
1st- O99.33 smoking complicating
2nd- nicotine dependence
Poisoning, toxic effects, adverse affects, & under dosing in pregnancy
1st- O99A injury/ poisoning
2nd- external causes (vomiting)
3rd- specify the condition caused by injury
