Medical Policy Medical Policy
Last Review: September 11, 2024
Next Review: Policy Archived
Related Policies: None
Obstetric Ultrasonography
| Population Reference No. | Populations | Interventions | Comparators | Outcomes |
| 1 | Individuals: · Uneventful pregnancy | Interventions of interest are: · Ultrasonographic evaluation | Comparators of interest are: · Clinical evaluation | Relevant outcomes include: · Fetal morbidity · Fetal mortality |
| 2 | Individuals: · Pregnancy at risk | Interventions of interest are: · Ultrasonographic evaluation | Comparators of interest are: · Clinical evaluation | Relevant outcomes include: · Fetal morbidity · Fetal mortality |
Obstetric Ultrasonography is an ultrasound examination with an instrument in real time, using transabdominal or transvaginal approach or both. Real -time ultrasonography is needed to confirm fetal vitality by observing fetal cardiac activity and fetal movement. Selecting transduce frequency is a compromise between penetration and resolution of this. Several types of tests, standard or basic, limited, and specialized (or detailed level II) these types of sonograms are performed in the second and third trimester of pregnancy. The first quarter is different and is discussed separately.
The objective is to review fetal anatomical evaluation in different stages during normal and at risk pregnancies.
Ultrasonographic evaluation of the fetomaternal complex in the different stages of pregnancy is considered clinically indicated and medically necessary.
A standardized test is performed during the second and third trimester of pregnancy. It includes an assessment of fetal presentation, amniotic fluid volume, cardiac activity, the position of the placenta, fetal biometry, and an anatomic study. If technically feasible, the neck of the uterus and appendages are also discussed.
A limited examination is performed when a specific area requires investigation. In an emergency, for example, in a patient bleeding could conduct a limited examination to assess fetal heart. This assessment would also be appropriate to verify fetal presentation in a patient in labor, but in most cases, limited ultrasound examinations are appropriate only when a thorough examination has been registered.
A detailed anatomical examination is performed when a fetal abnormality is suspected based on history or abnormal biochemical findings of either limited or standard screening.
Other specialized tests include Doppler fetal biophysical profile, fetal echocardiogram or additional studies biometrics.
First Trimester Ultrasound
Indications
A sonographic examination can be beneficial in many circumstances in the first trimester of pregnancy , including but not limited to, the following:
• To confirm the presence of an intrauterine pregnancy
• To evaluate a suspected ectopic pregnancy .
• To define the cause of vaginal bleeding.
• Assess pelvic pain.
• To estimate gestational age.
• To diagnose or evaluate multiple pregnancy.
• To confirm cardiac activity.
• To complement the chorionic villus sampling, embryo transfer, and location and extraction of an intrauterine device (IUD).
• To evaluate maternal pelvic masses and / or uterine abnormalities.
• To evaluate suspected hydatidiform mole.
A limited examination may be done to evaluate interval growth, estimate the volume of amniotic fluid, assess the cervix, and assess the presence of cardiac activity.
Scanning in the first quarter can be performed either transabdominal or transvaginal. If a transabdominal examination is not definitive, one ecografiatransvaginal or transperineal should be performed whenever possible.
a. The uterus and annexes must be evaluated to determine the presence of a gestational sac. If a gestational sac is seen, its location should be documented. The rump length is more accurate indicator of gestational age
(menstrual) that the average diameter of the gestational sac. However, the average diameter should be documented gestational sac when an embryo is not identified.
Caution should be exercised in making a presumptive diagnosis of a gestational sac in the absence of a definite embryo or yolk sac. Without these findings, one intrauterine fluid collection could represent a pseudogestational sac associated with ectopic pregnancy.
b. Presence or absence of cardiac activity should be reported. With transvaginal scans, cardiac motion is usually observed when the embryo is 5 mm or more in length. If an embryo less than 5 mm without cardiac activity is seen, further screening at a later time may be necessary to support heart activity.
c. Number of fetuses should be reported. Number of amniotic and chorionic membranes must be documented for all multiple pregnancies when possible.
d. Evaluation of the uterus, adnexal structures, and cul -de- sac should be performed. The presence, location and size of leiomyomas and masses in the Annexes should be recorded. The cul -de- sac must be analyzed to determine the presence or absence of liquid.
Indications
Ultrasound can be beneficial in many situations within the second and third trimester, including, but not limited to, the following circumstances:
( Adapted from NIH publication 84-667 , 1984 )
• Estimation of gestational age ( menstrual )
• Evaluation of fetal growth .
• Vaginal bleeding.
• Abdominal / pelvic
• Determination of fetal presentation.
• Suspected multiple pregnancies.
• Adjunct to amniocentesis.
• Significant discrepancy between the uterine size and clinical dates.
• Pelvic mass.
• Suspected hydatidiform mole.
• Attached to the cerclage.
• Suspected stillbirth.
• Suspected uterine anomaly
• Assessment of fetal wellbeing.
• Suspected amniotic fluid abnormalities.
• Adjunct to external cephalic version.
• Cases of premature rupture of membranes and / or preterm delivery.
• Abnormal biochemical marker.
• Follow-up evaluation of a fetal abnormality.
• Follow-up evaluation of placental location when there is suspicion of placenta previa.
• History of previous congenital anomaly.
• Evaluation of fetal condition when the patient enters late prenatal care
In certain clinical circumstances, a more detailed examination of fetal anatomy may be indicated.
• Fetal cardiac activity, the number of embryos or fetuses and presentation should be reported.
• In certain clinical circumstances, a detailed examination of fetal anatomy may be indicated.
• Multiple pregnancies require additional documentation:
• Detail of the amniotic membranes
• Comparison of fetal size,
• Estimate amniotic fluid volume
• Fetal genital (when displayed) .
• Placental location, appearance and relationship to internal organs should be recorded.
• The umbilical cord should be evaluated and documented number of blood vessels when possible
It is recognized that the apparent position of the placenta in early pregnancy correlates well with its location at the time of delivery. Views transabdominal , transperineal or transvaginal can be helpful to visualize the internal organs and its relationship to the placenta.
Transvaginal or transperineal ultrasound may be considered if the cervix appears shortened or if the patient complains of regular uterine contractions.
In the first trimester crown-rump measurement is the most accurate way to determine the date of pregnancy. Beyond this period, using a variety of sonographic parameters such as the length of the two-parent diameter, abdominal circumference and femoral shaft can be used to estimate gestational age.
Variability in age estimates, however, increases with advancing pregnancy. Significant discrepancies between gestational age (menstrual) and fetal measurements can indicate the possibility of abnormal fetal growth, intrauterine growth restriction, or macrosomia.
The biparietal diameter is measured at the level of the thalamus and cavum septi pellucidi . The measurement is taken from the outer edge of the skull proximal to the distal edge inside of the skull. In the measurement of the head circumference measurement is more reliable than the biparietal diameter for estimating gestational age. The circumference of the head is measured at the same level as the biparietal diameter, around the outer perimeter of the cranial vault. This measurement is not affected by the shape of the head. The length of the femoral shaft can be reliably used after 14 weeks gestation. Waist circumference should be determined in line with the skin in a cross-sectional view at the junction of the umbilical vein, portal sinus and when the fetal stomach visible.
The fetal weight can be estimated by obtaining measurements such as the biparietal diameter of the head circumference, abdominal circumference and femur length. Prediction results are diverse. Models can be compared with fetal weight percentiles published nomograms .
If previous studies have been performed, the measurement interval changes should also be evaluated for growth. Growth assessment: typically can be performed in at least 3 weeks apart. A scan with a shorter interval may lead to confusion as to whether the anatomical changes were actually caused by variations in growth as the measurement technique itself.
Today, even the best method of predicting fetal weight can cause errors as ± 15 percent. This variability may be influenced by factors such as the nature of the patient population, the number and types of anatomical parameters measured , technical factors affecting the resolution of ultrasound images , and the weight range being studied .
Evaluation of the uterus and annexes should be performed.
The fetal anatomy can be assessed by ultrasound after about 18 weeks gestational age. It is possible to document normal structures before this time, although some structures may be difficult to visualize due to fetal size, position, movement, abdominal scars, and increased wall thickness
feeding. A second or third quarter tomography can pose technical limitations for assessing anatomical image artifacts due to acoustic shadow.
The following areas of assessment are essential elements of a standard examination of fetal anatomy. A more detailed fetal anatomic examination may be necessary if an abnormality is suspected or an abnormality found on examination.
1. Head and neck
cerebellum choroid plexus Cisterna magna
Lateral cerebral ventricles l Cavum septi pellucidi
2. Chest
The basic cardiac examination includes a four-chamber view of the fetal heart . If technically feasible , evaluate the output of the tracts .
3. Abdomen
Stomach (presence, size, and situs ), kidneys,
4. Umbilical cord insertion site number of vessels fetal abdomen
5. Spine : cervical, thoracic , lumbar and sacral
6. Extremities
Legs and arms - the presence or absence
7. Gender
Medically indicated only low-risk pregnancy to assess multiple gestations.
Proper documentation study is essential for high quality care to the patient. This should include a permanent record of the ultrasound images, incorporating the measurement parameters and anatomical findings. Images must be properly documented with the date of the examination, patient identification and proper orientation of the image. THE written report of ultrasound findings should be included in the patient record. Reporting should be in accordance with Practice Guide ACR .
The Society for Maternal -Fetal Medicine ( SMFM ) has stated that a fetal ultrasound with detailed anatomic examination ( CPT 76811 ) is not necessary as a routine screening for all pregnancies ( SMFM , 2004 ) . Rather, this exploration is needed when it is known or suspected fetal anatomic abnormality or genetic abnormality or fetal abnormalities increased risk (eg , AMA, diabetic fetus or teratogenic risk due to genetic problems , or abnormal prenatal assessment ) . Thus, the SMFM has stated that the practice of this study is limited to OB / perinatologist with special expertise in identifying and counseling, fetal abnormalities ( SMFM , 2004 SMFM 2012) .
SMFM has also determined that no more than a fetal ultrasound with detailed anatomic examination is necessary for pregnancy, when medically necessary ( SMFM , 2004 ,SMFM 2012 ,SMFM 2021) . Once this detailed fetal anatomic examination is done, a second should not be performed unless there are extenuating circumstances with a new diagnosis. The SMFM has stated that it is desirable to repeat the detailed anatomical examination (CPT 76811) when the patient is seen by another specialist in maternal-fetal medicine, for example, for a second
opinion on a fetal anomaly or if the patient is referred to a center tertiary special neonatal capabilities.
Considered for payment:
• A sonogram in the first quarter whose purpose will be to set the due date .
• A sonogram in the second trimester for fetal anatomic evaluation .
• If necessary one in the third quarter if there is concern about fetal growth .
• Tridimensional Ultrasound (3D) and four-dimensional fetal ultrasound (4D )
Blue Card/National Account Issues
Benefits are determined by the group contract, member benefit booklet, and/or individual subscriber certificate in effect at the time services were rendered. Benefit products or negotiated coverages may have all or some of the services discussed in this medical policy excluded from their coverage.
Benefits are determined by the group contract, member benefit booklet, and/or individual subscriber certificate in effect at the time services were rendered. Benefit products or negotiated coverages may have all or some of the services discussed in this medical policy excluded from their coverage.
The term "ultrasound" refers to sound waves of a frequency greater than that which the human ear can appreciate, namely frequencies greater than 20,000 cycles per second or Hertz (Hz). To obtain images of the pregnant or nonpregnant pelvis, frequencies of 2 to 10 million Hertz (2 to 10 megahertz [MHz]) are typically required.
Real-time imaging is the most common sonographic technique used in obstetrics and gynecology. Multiple individual B-mode gray-scale images are obtained and rapidly displayed in succession, thereby creating a video of the area of interest over time that can be used to evaluate its structure and some aspects of its function. Real- time ultrasound is especially useful for imaging mobile subjects, such as the fetus or heart, and for quickly viewing an organ from different orientations.
N/A
Obstetrical ultrasound provides information about the pregnancy that is essential for providing optimal prenatal care: accurate determination of gestational age, fetal number, cardiac activity, placental localization, and diagnosis of major fetal anomalies. In the second trimester, fetal anomaly detection rates range from 16 to 44 percent, with detection rates up to 84 percent for lethal anomalies [21]. Ultrasound examination also improves the detection of fetal growth disturbances and abnormalities in amniotic fluid volume; however, a beneficial impact on pregnancy outcome has not been proven.
The American College of Obstetricians and Gynecologists has recommended ultrasound examination for all pregnant patients .
Promotion of greater diversity and inclusion in clinical research of historically marginalized groups (e.g., People of Color [African-American, Asian, Black, Latino and Native American]; LGBTQIA (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual); Women; and People with Disabilities [Physical and Invisible]) allows policy populations to be more reflective of and findings more applicable to our diverse members. While we also strive to use inclusive language related to these groups in our policies, use of gender-specific nouns (e.g., women, men, sisters, etc.) will continue when reflective of language used in publications describing study populations.
Promotion of greater diversity and inclusion in clinical research of historically marginalized groups (e.g., People of Color [African-American, Asian, Black, Latino and Native American]; LGBTQIA (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual); Women; and People with Disabilities [Physical and Invisible]) allows policy populations to be more reflective of and findings more applicable to our diverse members. While we also strive to use inclusive language related to these groups in our policies, use of gender-specific nouns (e.g., women, men, sisters, etc.) will continue when reflective of language used in publications describing study populations.
Uneventful pregnancy
| [X] MedicallyNecessary | [ ] Investigational |
Pregnancy at risk
| [X] MedicallyNecessary | [ ] Investigational |
N/A
N/A
N/A
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56. SMFM Coding Committee Task Force: Bsat F, Fisher B, Hart B, Rad S, Esposito M, Malish T, Jain VD Adapted fromhttps://doi.org/10.1055/s-0041-1740004 - American Journal of Perinatology – November 2021
| Sonograms high level of detail: Codes covered if criteria is met (for Perinatologist) | ||
| Codes | Number | Description |
| CPT | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation |
| | +76812 | each additional gestation (list separately in addition to code for primary procedure) |
| Covered Code if it meets criteria (for Perinatologist additional Certified Maternal Fetal Medicine Society) | ||
| Codes | Number | Description |
| CPT | 76813 | Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation |
| | 76814 | each additional gestation (List separately in addition to code for primary procedure.) |
| Codes Covered for standard sonogram: | ||
| Codes | Number | Description |
| CPT | 76801 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal approach; single or first gestation |
| | 76802 | Each additional gestation (list separately in addition to code for primary procedure) |
| | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation |
| | 76810 | Each additional gestation (list separately in addition to code for primary procedure) |
| | 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited (e.g., fetal heart beat, placental location, fetal position, and/or qualitative amniotic fluid volume), one or more fetuses |
| | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up (e.g., re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus |
| | 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
| | 76818 - 76819 | Fetal biophysical profile (with or without non-stress testing) |
| ICD-10 CM (effective date 10/01/2015) | Number | Description |
| | A92.0 | Chikungunya virus disease |
| | E08.65 | Diabetes mellitus due to underlying condition with hyperglycemia |
| | E08.9 | Diabetes mellitus due to underlying condition without complications |
| | E09.65 | Drug or chemical induced diabetes mellitus with hyperglycemia |
| | E09.9 | Drug or chemical induced diabetes mellitus without complications |
| | E10.65 | Type 1 diabetes mellitus with hyperglycemia |
| | E10.9 | Type 1 diabetes mellitus without complications |
| | E11.65 | Type 2 diabetes mellitus with hyperglycemia |
| | E11.9 | Type 2 diabetes mellitus without complications |
| | E66.01 | Morbid (severe) obesity due to excess calories |
| | F12.10 | Cannabis abuse, uncomplicated |
| | F12.90 | Cannabis use, unspecified, uncomplicated |
| | F17.200 | Nicotine dependence, unspecified, uncomplicated |
| | O23.01 | Infections of kidney in pregnancy, first trimester |
| | O23.02 | Infections of kidney in pregnancy, second trimester |
| | O23.03 | Infections of kidney in pregnancy, third trimester |
| | O34.10 | Maternal care for benign tumor of corpus uteri, unspecified trimester |
| | O34.29 | Maternal care due to uterine scar from other previous surgery |
| | O34.40 | Maternal care for other abnormalities of cervix, unspecified trimester |
| | O34.41 | Maternal care for other abnormalities of cervix, first trimester |
| | O34.42 | Maternal care for other abnormalities of cervix, second trimester |
| | O34.43 | Maternal care for other abnormalities of cervix, third trimester |
| | O34.80 | Maternal care for other abnormalities of pelvic organs, unspecified trimester |
| | O99.840 | Bariatric surgery status complicating pregnancy, unspecified trimester |
| | O09.00 | Supervision of pregnancy with history of infertility, unspecified trimester |
| | O09.10 | Supervision of pregnancy with history of ectopic pregnancy, unspecified trimester |
| | O09.211 | Supervision of pregnancy with history of pre-term labor, first trimester |
| | O09.291 | Supervision of pregnancy with other poor reproductive or obstetric history, first trimester |
| | O09.30 | Supervision of pregnancy with insufficient antenatal care, unspecified trimester |
| | O09.40 | Supervision of pregnancy with grand multiparity, unspecified trimester |
| | O09.41 | Supervision of pregnancy with grand multiparity, first trimester |
| | O09.42 | Supervision of pregnancy with grand multiparity, second trimester |
| | O09.43 | Supervision of pregnancy with grand multiparity, third trimester |
| | O09.511 | Supervision of elderly primigravida, first trimester |
| | O09.512 | Supervision of elderly primigravida, second trimester |
| | O09.513 | Supervision of elderly primigravida, third trimester |
| | O09.519 | Supervision of elderly primigravida, unspecified trimester |
| | O09.521 | Supervision of elderly multigravida, first trimester |
| | O09.522 | Supervision of elderly multigravida, second trimester |
| | O09.523 | Supervision of elderly multigravida, third trimester |
| | O09.529 | Supervision of elderly multigravida, unspecified trimester |
| | O09.611 | Supervision of young primigravida, first trimester |
| | O09.621 | Supervision of young multigravida, first trimester |
| | O09.819 | Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester |
| | O09.821 | Supervision of pregnancy with history of in utero procedure during previous pregnancy, first trimester |
| | O09.823 | Supervision of pregnancy with history of in utero procedure during previous pregnancy, third trimester |
| | O09.829 | Supervision of pregnancy with history of in utero procedure during previous pregnancy, unspecified trimester |
| | O10.011 | Pre-existing essential hypertension complicating pregnancy, first trimester |
| | O10.012 | Pre-existing essential hypertension complicating pregnancy, second trimester |
| | O10.013 | Pre-existing essential hypertension complicating pregnancy, third trimester |
| | O10.019 | Pre-existing essential hypertension complicating pregnancy, unspecified trimester |
| | O10.111 | Pre-existing hypertensive heart disease complicating pregnancy, first trimester |
| | O10.112 | Pre-existing hypertensive heart disease complicating pregnancy, second trimester |
| | O10.113 | Pre-existing hypertensive heart disease complicating pregnancy, third trimester |
| | O10.119 | Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimester |
| | O10.211 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester |
| | O10.212 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester |
| | O10.213 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester |
| | O10.219 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester |
| | O10.311 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester |
| | O10.312 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester |
| | O10.313 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester |
| | O10.319 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimester |
| | O10.411 | Pre-existing secondary hypertension complicating pregnancy, first trimester |
| | O10.412 | Pre-existing secondary hypertension complicating pregnancy, second trimester |
| | O10.413 | Pre-existing secondary hypertension complicating pregnancy, third trimester |
| | O10.419 | Pre-existing secondary hypertension complicating pregnancy, unspecified trimester |
| | O10.911 | Unspecified pre-existing hypertension complicating pregnancy, first trimester |
| | O10.912 | Unspecified pre-existing hypertension complicating pregnancy, second trimester |
| | O10.913 | Unspecified pre-existing hypertension complicating pregnancy, third trimester |
| | O10.919 | Unspecified pre-existing hypertension complicating childbirth |
| | O11.1 | Pre-existing hypertension with pre-eclampsia, first trimester |
| | O11.2 | Pre-existing hypertension with pre-eclampsia, second trimester |
| | O11.3 | Pre-existing hypertension with pre-eclampsia, third trimester |
| | O11.9 | Pre-existing hypertension with pre-eclampsia, unspecified trimester |
| | O12.02 | Gestational edema, second trimester |
| | O12.03 | Gestational edema, third trimester |
| | O12.22 | Gestational edema with proteinuria, second trimester |
| | O12.23 | Gestational edema with proteinuria, third trimester |
| | O13.1 | Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester |
| | O13.2 | Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester |
| | O13.3 | Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester |
| | O13.9 | Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester |
| | O14.00 | Mild to moderate pre-eclampsia, unspecified trimester |
| | O14.02 | Mild to moderate pre-eclampsia, second trimester |
| | O14.03 | Mild to moderate pre-eclampsia, third trimester |
| | O14.10 | Severe pre-eclampsia, unspecified trimester |
| | O14.12 | Severe pre-eclampsia, second trimester |
| | O14.13 | Severe pre-eclampsia, third trimester |
| | O14.20 | HELLP syndrome (HELLP), unspecified trimester |
| | O14.22 | HELLP syndrome (HELLP), second trimester |
| | O14.23 | HELLP syndrome (HELLP), third trimester |
| | O14.90 | Unspecified pre-eclampsia, unspecified trimester |
| | O14.92 | Unspecified pre-eclampsia, second trimester |
| | O14.93 | Unspecified pre-eclampsia, third trimester |
| | O15.02 | Eclampsia complicating pregnancy, second trimester |
| | O15.03 | Eclampsia complicating pregnancy, third trimester |
| | O15.9 | Eclampsia, unspecified as to time period |
| | O16.1 | Unspecified maternal hypertension, first trimester |
| | O16.2 | Unspecified maternal hypertension, second trimester |
| | O16.3 | Unspecified maternal hypertension, third trimester |
| | O16.9 | Unspecified maternal hypertension, unspecified trimester |
| | O20.0 | Threatened abortion |
| | O20.8 | Other hemorrhage in early pregnancy |
| | O20.9 | Hemorrhage in early pregnancy, unspecified |
| | O21.1 | Hyperemesis gravidarum with metabolic disturbance |
| | O21.8 | Other vomiting complicating pregnancy |
| O21.9 | Vomiting of pregnancy, unspecified | |
| | O22.20 | Superficial thrombophlebitis in pregnancy, unspecified trimester |
| | O22.21 | Superficial thrombophlebitis in pregnancy, first trimester |
| | O22.22 | Superficial thrombophlebitis in pregnancy, second trimester |
| | O22.23 | Superficial thrombophlebitis in pregnancy, third trimester |
| | O22.30 | Deep phlebothrombosis in pregnancy, unspecified trimester |
| | O22.31 | Deep phlebothrombosis in pregnancy, first trimester |
| | O22.32 | Deep phlebothrombosis in pregnancy, second trimester |
| | O22.33 | Deep phlebothrombosis in pregnancy, third trimester |
| | O23.00 | Infections of kidney in pregnancy, unspecified trimester |
| | O23.10 | Infections of bladder in pregnancy, unspecified trimester |
| | O23.20 | Infections of urethra in pregnancy, unspecified trimester |
| | O23.30 | Infections of other parts of urinary tract in pregnancy, unspecified trimester |
| | O23.40 | Unspecified infection of urinary tract in pregnancy, unspecified trimester |
| | O23.519 | Infections of cervix in pregnancy, unspecified trimester |
| | O23.529 | Salpingo-oophoritis in pregnancy, unspecified trimester |
| | O23.599 | Infection of other part of genital tract in pregnancy, unspecified trimester |
| | O23.90 | Unspecified genitourinary tract infection in pregnancy, unspecified trimester |
| | O23.91 | Unspecified genitourinary tract infection in pregnancy, first trimester |
| | O23.92 | Unspecified genitourinary tract infection in pregnancy, second trimester |
| | O23.93 | Unspecified genitourinary tract infection in pregnancy, third trimester |
| | O24.319 | Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester |
| | O24.419 | Gestational diabetes mellitus in pregnancy, unspecified control |
| | O24.911 | Unspecified diabetes mellitus in pregnancy, first trimester |
| | O24.912 | Unspecified diabetes mellitus in pregnancy, second trimester |
| | O24.913 | Unspecified diabetes mellitus in pregnancy, third trimester |
| | O26.02 | Excessive weight gain in pregnancy, second trimester |
| | O26.03 | Excessive weight gain in pregnancy, third trimester |
| | O26.20 | Pregnancy care for patient with recurrent pregnancy loss, unspecified trimester |
| | O26.21 | Pregnancy care for patient with recurrent pregnancy loss, first trimester |
| | O26.22 | Pregnancy care for patient with recurrent pregnancy loss, second trimester |
| | O26.23 | Pregnancy care for patient with recurrent pregnancy loss, third trimester |
| | O26.611 | Liver and biliary tract disorders in pregnancy, first trimester |
| | O26.612 | Liver and biliary tract disorders in pregnancy, second trimester |
| | O26.613 | Liver and biliary tract disorders in pregnancy, third trimester |
| | O26.619 | Liver and biliary tract disorders in pregnancy, unspecified trimester |
| | O26.831 | Pregnancy related renal disease, first trimester |
| | O26.832 | Pregnancy related renal disease, second trimester |
| | O26.833 | Pregnancy related renal disease, third trimester |
| | O26.839 | Pregnancy related renal disease, unspecified trimester |
| | O26.842 | Uterine size-date discrepancy, second trimester |
| | O26.843 | Uterine size-date discrepancy, third trimester |
| | O26.849 | Uterine size-date discrepancy, unspecified trimester |
| | O26.851 | Spotting complicating pregnancy, first trimester |
| | O26.852 | Spotting complicating pregnancy, second trimester |
| | O26.853 | Spotting complicating pregnancy, third trimester |
| | O26.859 | Spotting complicating pregnancy, unspecified trimester |
| | O26.872 | Cervical shortening, second trimester |
| | O26.873 | Cervical shortening, third trimester |
| | O26.879 | Cervical shortening, unspecified trimester |
| | O28.3 | Abnormal ultrasonic finding on antenatal screening of mother |
| | O28.4 | Abnormal radiological finding on antenatal screening of mother |
| | O28.8 | Other abnormal findings on antenatal screening of mother |
| | O28.9 | Unspecified abnormal findings on antenatal screening of mother |
| | O30.001 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| | O30.002 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| | O30.003 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| | O30.009 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester |
| | O30.042 | Twin pregnancy, dichorionic/diamniotic, second trimester |
| | O30.101 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| | O30.102 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| | O30.103 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| | O30.109 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester |
| | O30.201 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| | O30.202 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| | O30.203 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| | O30.209 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester |
| | O31.00X0 | Papyraceous fetus, unspecified trimester, not applicable or unspecified |
| | O31.10X0 | Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, not applicable or unspecified |
| | O31.11X0 | Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified |
| | O31.30X0 | Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, not applicable or unspecified |
| | O31.31X0 | Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, not applicable or unspecified |
| | O31.32X0 | Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, not applicable or unspecified |
| | O31.33X0 | Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, not applicable or unspecified |
| | O32.0XX0 | Maternal care for unstable lie, not applicable or unspecified |
| | O32.1XX0 | Maternal care for breech presentation, not applicable or unspecified |
| | O32.2XX0 | Maternal care for transverse and oblique lie, not applicable or unspecified |
| | O32.3XX0 | Maternal care for face, brow and chin presentation, not applicable or unspecified |
| | O32.4XX0 | Maternal care for high head at term, not applicable or unspecified |
| | O32.6XX0 | Maternal care for compound presentation, not applicable or unspecified |
| | O32.8XX0 | Maternal care for other malpresentation of fetus, not applicable or unspecified |
| | O32.9XX0 | Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified |
| | O33.0 | Maternal care for disproportion due to deformity of maternal pelvic bones |
| | O33.1 | Maternal care for disproportion due to generally contracted pelvis |
| | O33.2 | Maternal care for disproportion due to inlet contraction of pelvis |
| | O33.3XX0 | Maternal care for disproportion due to outlet contraction of pelvis, not applicable or unspecified |
| | O33.4XX0 | Maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecified |
| | O33.5XX0 | Maternal care for disproportion due to unusually large fetus, not applicable or unspecified |
| | O33.6XX0 | Maternal care for disproportion due to hydrocephalic fetus, not applicable or unspecified |
| | O33.8 | Maternal care for disproportion of other origin |
| | O33.9 | Maternal care for disproportion, unspecified |
| | O34.00 | Maternal care for unspecified congenital malformation of uterus, unspecified trimester |
| | O34.01 | Maternal care for unspecified congenital malformation of uterus, first trimester |
| | O34.02 | Maternal care for unspecified congenital malformation of uterus, second trimester |
| | O34.03 | Maternal care for unspecified congenital malformation of uterus, third trimester |
| | O34.11 | Maternal care for benign tumor of corpus uteri, first trimester |
| | O34.12 | Maternal care for benign tumor of corpus uteri, second trimester |
| | O34.13 | Maternal care for benign tumor of corpus uteri, third trimester |
| | O34.30 | Maternal care for cervical incompetence, unspecified trimester |
| | O34.31 | Maternal care for cervical incompetence, first trimester |
| | O34.32 | Maternal care for cervical incompetence, second trimester |
| | O34.33 | Maternal care for cervical incompetence, third trimester |
| | O34.511 | Maternal care for incarceration of gravid uterus, first trimester |
| | O34.512 | Maternal care for incarceration of gravid uterus, second trimester |
| | O34.513 | Maternal care for incarceration of gravid uterus, third trimester |
| | O34.531 | Maternal care for retroversion of gravid uterus, first trimester |
| | O34.532 | Maternal care for retroversion of gravid uterus, second trimester |
| | O34.533 | Maternal care for retroversion of gravid uterus, third trimester |
| | O34.539 | Maternal care for retroversion of gravid uterus, unspecified trimester |
| | O35.2XX0 | Maternal care for (suspected) hereditary disease in fetus, not applicable or unspecified |
| | O35.3XX0 | Maternal care for (suspected) damage to fetus from viral disease in mother, not applicable or unspecified |
| | O35.4XX0 | Maternal care for (suspected) damage to fetus from alcohol, not applicable or unspecified |
| | O35.5XX0 | Maternal care for (suspected) damage to fetus by drugs, not applicable or unspecified |
| | O35.6XX0 | Maternal care for (suspected) damage to fetus by radiation, not applicable or unspecified |
| | O35.8XX0 | Maternal care for other (suspected) fetal abnormality and damage, not applicable or unspecified |
| | O36.0110 | Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified |
| | O36.0120 | Maternal care for anti-D [Rh] antibodies, second trimester, not applicable or unspecified |
| | O36.0130 | Maternal care for anti-D [Rh] antibodies, third trimester, not applicable or unspecified |
| | O36.0190 | Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified |
| | O36.0910 | Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified |
| | O36.0920 | Maternal care for other rhesus isoimmunization, second trimester, not applicable or unspecified |
| | O36.0930 | Maternal care for other rhesus isoimmunization, third trimester, not applicable or unspecified |
| | O36.0990 | Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified |
| | O36.1110 | Maternal care for Anti-A sensitization, first trimester, not applicable or unspecified |
| | O36.1120 | Maternal care for Anti-A sensitization, second trimester, not applicable or unspecified |
| | O361130 | Maternal care for Anti-A sensitization, third trimester, not applicable or unspecified |
| | O36.1190 | Maternal care for Anti-A sensitization, unspecified trimester, not applicable or unspecified |
| | O36.1910 | Maternal care for other isoimmunization, first trimester, not applicable or unspecified |
| | O36.1920 | Maternal care for other isoimmunization, second trimester, not applicable or unspecified |
| | O36.1930 | Maternal care for other isoimmunization, third trimester, not applicable or unspecified |
| | O36.1990 | Maternal care for other isoimmunization, unspecified trimester, not applicable or unspecified |
| | O36.4XX0 | Maternal care for intrauterine death, not applicable or unspecified |
| | O36.5110 | Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified |
| | O36.5120 | Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified |
| | O36.5130 | Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecified |
| | O36.5190 | Maternal care for known or suspected placental insufficiency, unspecified trimester, not applicable or unspecified |
| | O36.5910 | Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified |
| | O36.5920 | Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified |
| | O36.5930 | Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified |
| | O36.5990 | Maternal care for other known or suspected poor fetal growth, unspecified trimester, not applicable or unspecified |
| | O36.60X0 | Maternal care for excessive fetal growth, unspecified trimester, not applicable or unspecified |
| | O36.61X0 | Maternal care for excessive fetal growth, first trimester, not applicable or unspecified |
| | O36.62X0 | Maternal care for excessive fetal growth, second trimester, not applicable or unspecified |
| | O36.63X0 | Maternal care for excessive fetal growth, third trimester, not applicable or unspecified |
| | O36.80X0 | Pregnancy with inconclusive fetal viability, not applicable or unspecified |
| | O36.8120 | Decreased fetal movements, second trimester, not applicable or unspecified |
| | O36.8130 | Decreased fetal movements, third trimester, not applicable or unspecified |
| | O36.8190 | Decreased fetal movements, unspecified trimester, not applicable or unspecified |
| | O36.8910 | Maternal care for other specified fetal problems, first trimester, not applicable or unspecified |
| | O36.8920 | Maternal care for other specified fetal problems, second trimester, not applicable or unspecified |
| | O36.8930 | Maternal care for other specified fetal problems, third trimester, not applicable or unspecified |
| | O36.8990 | Maternal care for other specified fetal problems, unspecified trimester, not applicable or unspecified |
| | O40.1XX0 | Polyhydramnios, first trimester, not applicable or unspecified |
| | O40.2XX0 | Polyhydramnios, second trimester, not applicable or unspecified |
| | O40.3XX0 | Polyhydramnios, third trimester, not applicable or unspecified |
| | O40.9XX0 | Polyhydramnios, unspecified trimester, not applicable or unspecified |
| | O41.00X0 | Oligohydramnios, unspecified trimester, not applicable or unspecified |
| | O41.01X0 | Oligohydramnios, first trimester, not applicable or unspecified |
| | O41.02X0 | Oligohydramnios, second trimester, not applicable or unspecified |
| | O41.03X0 | Oligohydramnios, third trimester, not applicable or unspecified |
| | O41.8X10 | Other specified disorders of amniotic fluid and membranes, first trimester, not applicable or unspecified |
| | O41.8X20 | Other specified disorders of amniotic fluid and membranes, second trimester, not applicable or unspecified |
| | O41.8X30 | Other specified disorders of amniotic fluid and membranes, third trimester, not applicable or unspecified |
| | O41.8X90 | Other specified disorders of amniotic fluid and membranes, unspecified trimester, not applicable or unspecified |
| | O42.00 | Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation |
| | O42.011 | Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester |
| | O42.012 | Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester |
| | O42.013 | Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester |
| | O43.101 | Malformation of placenta, unspecified, first trimester |
| | O43.102 | Malformation of placenta, unspecified, second trimester |
| | O43.103 | Malformation of placenta, unspecified, third trimester |
| | O43.199 | Other malformation of placenta, unspecified trimester |
| | O43.239 | Placenta percreta, unspecified trimester |
| | O43.811 | Placental infarction, first trimester |
| | O43.812 | Placental infarction, second trimester |
| | O43.813 | Placental infarction, third trimester |
| | O43.819 | Placental infarction, unspecified trimester |
| | O43.91 | Unspecified placental disorder, first trimester |
| | O43.92 | Unspecified placental disorder, second trimester |
| | O43.93 | Unspecified placental disorder, third trimester |
| | O44.00 | Complete placenta previa NOS or without hemorrhage, unspecified trimester |
| | O44.02 | Complete placenta previa NOS or without hemorrhage, second trimester |
| | O44.03 | Complete placenta previa NOS or without hemorrhage, third trimester |
| | O44.10 | Complete placenta previa with hemorrhage, unspecified trimester |
| | O44.12 | Complete placenta previa with hemorrhage, second trimester |
| | O44.13 | Complete placenta previa with hemorrhage, third trimester |
| | O45.001 | Premature separation of placenta with coagulation defect, unspecified, first trimester |
| | O45.002 | Premature separation of placenta with coagulation defect, unspecified, second trimester |
| | O45.003 | Premature separation of placenta with coagulation defect, unspecified, third trimester |
| | O45.011 | Premature separation of placenta with afibrinogenemia, first trimester |
| | O45.012 | Premature separation of placenta with afibrinogenemia, second trimester |
| | O45.013 | Premature separation of placenta with afibrinogenemia, third trimester |
| | O45.021 | Premature separation of placenta with disseminated intravascular coagulation, first trimester |
| | O45.022 | Premature separation of placenta with disseminated intravascular coagulation, second trimester |
| | O45.023 | Premature separation of placenta with disseminated intravascular coagulation, third trimester |
| | O45.091 | Premature separation of placenta with other coagulation defect, first trimester |
| | O45.092 | Premature separation of placenta with other coagulation defect, second trimester |
| | O45.093 | Premature separation of placenta with other coagulation defect, third trimester |
| | O45.8X2 | Other premature separation of placenta, second trimester |
| | O45.8X3 | Other premature separation of placenta, third trimester |
| | O45.8X9 | Other premature separation of placenta, unspecified trimester |
| | O45.91 | Premature separation of placenta, unspecified, first trimester |
| | O45.92 | Premature separation of placenta, unspecified, second trimester |
| | O45.93 | Premature separation of placenta, unspecified, third trimester |
| | O46.001 | Antepartum hemorrhage with coagulation defect, unspecified, first trimester |
| | O46.002 | Antepartum hemorrhage with coagulation defect, unspecified, second trimester |
| | O46.003 | Antepartum hemorrhage with coagulation defect, unspecified, third trimester |
| | O46.009 | Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester |
| | O46.011 | Antepartum hemorrhage with afibrinogenemia, first trimester |
| | O46.012 | Antepartum hemorrhage with afibrinogenemia, second trimester |
| | O46.013 | Antepartum hemorrhage with afibrinogenemia, third trimester |
| | O46.019 | Antepartum hemorrhage with afibrinogenemia, unspecified trimester |
| | O46.021 | Antepartum hemorrhage with disseminated intravascular coagulation, first trimester |
| | O46.022 | Antepartum hemorrhage with disseminated intravascular coagulation, second trimester |
| | O46.023 | Antepartum hemorrhage with disseminated intravascular coagulation, third trimester |
| | O46.029 | Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester |
| | O46.091 | Antepartum hemorrhage with other coagulation defect, first trimester |
| | O46.092 | Antepartum hemorrhage with other coagulation defect, second trimester |
| | O46.093 | Antepartum hemorrhage with other coagulation defect, third trimester |
| | O46.099 | Antepartum hemorrhage with other coagulation defect, unspecified trimester |
| | O46.8X2 | Other antepartum hemorrhage, second trimester |
| | O46.8X3 | Other antepartum hemorrhage, third trimester |
| | O46.8X9 | Other antepartum hemorrhage, unspecified trimester |
| | O46.90 | Antepartum hemorrhage, unspecified, unspecified trimester |
| | O46.91 | Antepartum hemorrhage, unspecified, first trimester |
| | O46.92 | Antepartum hemorrhage, unspecified, second trimester |
| | O46.93 | Antepartum hemorrhage, unspecified, third trimester |
| | O47.00 | False labor before 37 completed weeks of gestation, unspecified trimester |
| | O47.02 | False labor before 37 completed weeks of gestation, second trimester |
| | O47.03 | False labor before 37 completed weeks of gestation, third trimester |
| | O47.1 | False labor at or after 37 completed weeks of gestation |
| | O47.9 | False labor, unspecified |
| | O48.0 | Post-term pregnancy |
| | O48.1 | Prolonged pregnancy |
| | O60.00 | Preterm labor without delivery, unspecified trimester |
| | O60.02 | Preterm labor without delivery, second trimester |
| | O60.03 | Preterm labor without delivery, third trimester |
| | O60.10X0 | Preterm labor with preterm delivery, unspecified trimester, not applicable or unspecified |
| | O68 | Labor and delivery complicated by abnormality of fetal acid-base balance |
| | O69.1XX0 | Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified |
| | O69.2XX0 | Labor and delivery complicated by other cord entanglement, with compression, not applicable or unspecified |
| | O69.3XX0 | Labor and delivery complicated by short cord, not applicable or unspecified |
| | O69.4XX0 | Labor and delivery complicated by vasa previa, not applicable or unspecified |
| | O69.81X0 | Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified |
| | O69.82X0 | Labor and delivery complicated by other cord entanglement, without compression, not applicable or unspecified |
| | O69.89X0 | Labor and delivery complicated by other cord complications, not applicable or unspecified |
| | O69.9XX0 | Labor and delivery complicated by cord complication, unspecified, not applicable or unspecified |
| | O71.00 | Rupture of uterus before onset of labor, unspecified trimester |
| | O71.02 | Rupture of uterus before onset of labor, second trimester |
| | O71.03 | Rupture of uterus before onset of labor, third trimester |
| | O71.89 | Other specified obstetric trauma |
| | O71.9 | Obstetric trauma, unspecified |
| | O73.0 | Retained placenta without hemorrhage |
| | O73.1 | Retained portions of placenta and membranes, without hemorrhage |
| | O76 | Abnormality in fetal heart rate and rhythm complicating labor and delivery |
| | O77.0 | Labor and delivery complicated by meconium in amniotic fluid |
| | O98.011 | Tuberculosis complicating pregnancy, first trimester |
| | O98.012 | Tuberculosis complicating pregnancy, second trimester |
| | O98.013 | Tuberculosis complicating pregnancy, third trimester |
| | O98.019 | Tuberculosis complicating pregnancy, unspecified trimester |
| | O98.111 | Syphilis complicating pregnancy, first trimester |
| | O98.112 | Syphilis complicating pregnancy, second trimester |
| | O98.113 | Syphilis complicating pregnancy, third trimester |
| | O98.119 | Syphilis complicating pregnancy, unspecified trimester |
| | O98.211 | Gonorrhea complicating pregnancy, first trimester |
| | O98.212 | Gonorrhea complicating pregnancy, second trimester |
| | O98.213 | Gonorrhea complicating pregnancy, third trimester |
| | O98.219 | Gonorrhea complicating pregnancy, unspecified trimester |
| | O98.311 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, first trimester |
| | O98.312 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, second trimester |
| | O98.313 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, third trimester |
| | O98.319 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, unspecified trimester |
| | O98.511 | Other viral diseases complicating pregnancy, first trimester |
| | O98.512 | Other viral diseases complicating pregnancy, second trimester |
| | O98.513 | Other viral diseases complicating pregnancy, third trimester |
| | O98.519 | Other viral diseases complicating pregnancy, unspecified trimester |
| | O98.611 | Protozoal diseases complicating pregnancy, first trimester |
| | O98.612 | Protozoal diseases complicating pregnancy, second trimester |
| | O98.613 | Protozoal diseases complicating pregnancy, third trimester |
| | O98.619 | Protozoal diseases complicating pregnancy, unspecified trimester |
| | O98.811 | Other maternal infectious and parasitic diseases complicating pregnancy, first trimester |
| | O98.812 | Other maternal infectious and parasitic diseases complicating pregnancy, second trimester |
| | O98.813 | Other maternal infectious and parasitic diseases complicating pregnancy, third trimester |
| | O98.819 | Other maternal infectious and parasitic diseases complicating pregnancy, unspecified trimester |
| | O98.911 | Unspecified maternal infectious and parasitic disease complicating pregnancy, first trimester |
| | O98.912 | Unspecified maternal infectious and parasitic disease complicating pregnancy, second trimester |
| | O98.913 | Unspecified maternal infectious and parasitic disease complicating pregnancy, third trimester |
| | O98.919 | Unspecified maternal infectious and parasitic disease complicating pregnancy, unspecified trimester |
| | O99.011 | Anemia complicating pregnancy, first trimester |
| | O99.012 | Anemia complicating pregnancy, second trimester |
| | O99.013 | Anemia complicating pregnancy, third trimester |
| | O99.019 | Anemia complicating pregnancy, unspecified trimester |
| | O99.111 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester |
| | O99.112 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester |
| | O99.113 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester |
| | O99.119 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester |
| | O99.210 | Obesity complicating pregnancy, unspecified trimester |
| | O99.212 | Obesity complicating pregnancy, second trimester |
| | O99.213 | Obesity complicating pregnancy, third trimester |
| | O99.280 | Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester |
| | O99.281 | Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester |
| | O99.282 | Endocrine, nutritional and metabolic diseases complicating pregnancy, second trimester |
| | O99.283 | Endocrine, nutritional and metabolic diseases complicating pregnancy, third trimester |
| | O99.320 | Drug use complicating pregnancy, unspecified trimester |
| | O99.321 | Drug use complicating pregnancy, first trimester |
| | O99.322 | Drug use complicating pregnancy, second trimester |
| | O99.323 | Drug use complicating pregnancy, third trimester |
| | O99.330 | Smoking (tobacco) complicating pregnancy, unspecified trimester |
| | O99.331 | Smoking (tobacco) complicating pregnancy, first trimester |
| | O99.332 | Smoking (tobacco) complicating pregnancy, second trimester |
| | O99.333 | Smoking (tobacco) complicating pregnancy, third trimester |
| | O99.334 | Smoking (tobacco) complicating childbirth |
| | O99.335 | Smoking (tobacco) complicating the puerperium |
| | O99.350 | Diseases of the nervous system complicating pregnancy, unspecified trimester |
| | O99.351 | Diseases of the nervous system complicating pregnancy, first trimester |
| | O99.352 | Diseases of the nervous system complicating pregnancy, second trimester |
| | O99.353 | Diseases of the nervous system complicating pregnancy, third trimester |
| | O99.412 | Diseases of the circulatory system complicating pregnancy, second trimester |
| | O99.413 | Diseases of the circulatory system complicating pregnancy, third trimester |
| | O99.419 | Diseases of the circulatory system complicating pregnancy, unspecified trimester |
| | O99.810 | Abnormal glucose complicating pregnancy |
| | O99.841 | Bariatric surgery status complicating pregnancy, first trimester |
| | O99.842 | Bariatric surgery status complicating pregnancy, second trimester |
| | O99.843 | Bariatric surgery status complicating pregnancy, third trimester |
| | P00.0 | Newborn affected by maternal hypertensive disorders |
| | P00.1 | Newborn affected by maternal renal and urinary tract diseases |
| | P00.2 | Newborn affected by maternal infectious and parasitic diseases |
| | P00.3 | Newborn affected by other maternal circulatory and respiratory diseases |
| | P00.4 | Newborn affected by maternal nutritional disorders |
| | P00.5 | Newborn affected by maternal injury |
| | P01.1 | Newborn affected by premature rupture of membranes |
| | P01.2 | Newborn affected by oligohydramnios |
| | P01.3 | Newborn affected by polyhydramnios |
| | P01.4 | Newborn affected by ectopic pregnancy |
| | P01.5 | Newborn affected by multiple pregnancy |
| | P01.7 | Newborn affected by malpresentation before labor |
| | P02.0 | Newborn affected by placenta previa |
| | P02.1 | Newborn affected by other forms of placental separation and hemorrhage |
| | P02.3 | Newborn affected by placental transfusion syndromes |
| | P02.4 | Newborn affected by prolapsed cord |
| | P02.5 | Newborn affected by other compression of umbilical cord |
| | P03.810 | Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of labor |
| | P04.3 | Newborn affected by maternal use of alcohol |
| | P04.41 | Newborn affected by maternal use of cocaine |
| | P04.49 | Newborn affected by maternal use of other drugs of addiction |
| | P04.9 | Newborn affected by maternal noxious substance, unspecified |
| | Q86.0 | Fetal alcohol syndrome (dysmorphic) |
| | R10.30 | Lower abdominal pain, unspecified |
| | R10.31 | Right lower quadrant pain |
| | R10.32 | Left lower quadrant pain |
| | R93.5 | Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum |
| Z3A.09 | 9 weeks gestation of pregnancy | |
| | Z33.1 | Pregnant state, incidental |
| | Z34.00 | Encounter for supervision of normal first pregnancy, unspecified trimester |
| | Z34.01 | Encounter for supervision of normal first pregnancy, first trimester |
| | Z34.02 | Encounter for supervision of normal first pregnancy, second trimester |
| | Z34.03 | Encounter for supervision of normal first pregnancy, third trimester |
| | Z34.80 | Encounter for supervision of other normal pregnancy, unspecified trimester |
| | Z34.81 | Encounter for supervision of other normal pregnancy, first trimester |
| | Z34.82 | Encounter for supervision of other normal pregnancy, second trimester |
| | Z34.83 | Encounter for supervision of other normal pregnancy, third trimester |
| | Z68.35 | Body mass index [BMI] 35.0-35.9, adult |
| | Z68.36 | Body mass index [BMI] 36.0-36.9, adult |
| | Z68.37 | Body mass index [BMI] 37.0-37.9, adult |
| | Z68.38 | Body mass index [BMI] 38.0-38.9, adult |
| | Z68.39 | Body mass index [BMI] 39.0-39.9, adult |
| | Z68.41 | Body mass index [BMI] 40.0-44.9, adult |
| | Z68.42 | Body mass index [BMI] 45.0-49.9, adult |
| | Z68.43 | Body mass index [BMI] 50.0-59.9, adult |
| | Z68.44 | Body mass index [BMI] 60.0-69.9, adult |
| | Z68.45 | Body mass index [BMI] 70 or greater, adult |
| ICD-10 CM (Effective date 10/01/2016) | E66.09 | Other obesity due to excess calories |
| | E66.1 | Drug-induced obesity |
| | E66.2 | Morbid (severe) obesity with alveolar hypoventilation |
| | E66.3 | Overweight |
| | E66.9 | Obesity, unspecified |
| O00.80 | Other ectopic pregnancy without intrauterine pregnancy | |
| | O00.81 | Other ectopic pregnancy with intrauterine pregnancy |
| | O11.4 | Pre-existing hypertension with pre-eclampsia, complicating childbirth |
| | O11.5 | Pre-existing hypertension with pre-eclampsia, complicating the puerperium |
| | O12.04 | Gestational edema, complicating childbirth |
| | O12.05 | Gestational edema, complicating the puerperium |
| | O12.14 | Gestational proteinuria, complicating childbirth |
| | O12.15 | Gestational proteinuria, complicating the puerperium |
| | O12.24 | Gestational edema with proteinuria, complicating childbirth |
| | O12.25 | Gestational edema with proteinuria, complicating the puerperium |
| | O14.05 | Mild to moderate pre-eclampsia, complicating the puerperium |
| | O14.14 | Severe pre-eclampsia complicating childbirth |
| | O14.15 | Severe pre-eclampsia, complicating the puerperium |
| | O14.24 | HELLP syndrome, complicating childbirth |
| | O14.25 | HELLP syndrome, complicating the puerperium |
| | O14.94 | Unspecified pre-eclampsia, complicating childbirth |
| | O16.4 | Unspecified maternal hypertension, complicating childbirth |
| | O16.5 | Unspecified maternal hypertension, complicating the puerperium |
| | O24.011 | Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester |
| | O24.012 | Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester |
| | O24.013 | Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester |
| | O24.019 | Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester |
| | O24.111 | Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester |
| | O24.112 | Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester |
| | O24.113 | Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester |
| | O24.119 | Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester |
| | O24.311 | Unspecified pre-existing diabetes mellitus in pregnancy, first trimester |
| | O24.312 | Unspecified pre-existing diabetes mellitus in pregnancy, second trimester |
| | O24.313 | Unspecified pre-existing diabetes mellitus in pregnancy, third trimester |
| | O24.435 | Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs |
| | O24.811 | Other pre-existing diabetes mellitus in pregnancy, first trimester |
| | O24.812 | Other pre-existing diabetes mellitus in pregnancy, second trimester |
| | O24.813 | Other pre-existing diabetes mellitus in pregnancy, third trimester |
| | O24.819 | Other pre-existing diabetes mellitus in pregnancy, unspecified trimester |
| | O30.011 | Twin pregnancy, monochorionic/monoamniotic, first trimester |
| | O30.012 | Twin pregnancy, monochorionic/monoamniotic, second trimester |
| | O30.013 | Twin pregnancy, monochorionic/monoamniotic, third trimester |
| | O30.019 | Twin pregnancy, monochorionic/monoamniotic, unspecified trimester |
| | O30.021 | Conjoined twin pregnancy, first trimester |
| | O30.022 | Conjoined twin pregnancy, second trimester |
| | O30.023 | Conjoined twin pregnancy, third trimester |
| | O30.029 | Conjoined twin pregnancy, unspecified trimester |
| | O30.031 | Twin pregnancy, monochorionic/diamniotic, first trimester |
| | O30.032 | Twin pregnancy, monochorionic/diamniotic, second trimester |
| | O30.033 | Twin pregnancy, monochorionic/diamniotic, third trimester |
| | O30.039 | Twin pregnancy, monochorionic/diamniotic, unspecified trimester |
| | O30.041 | Twin pregnancy, dichorionic/diamniotic, first trimester |
| | O30.043 | Twin pregnancy, dichorionic/diamniotic, third trimester |
| | O30.049 | Twin pregnancy, dichorionic/diamniotic, unspecified trimester |
| | O30.091 | Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester |
| | O30.092 | Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester |
| | O30.093 | Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester |
| | O30.099 | Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester |
| | O30.111 | Triplet pregnancy with two or more monochorionic fetuses, first trimester |
| | O30.112 | Triplet pregnancy with two or more monochorionic fetuses, second trimester |
| | O30.113 | Triplet pregnancy with two or more monochorionic fetuses, third trimester |
| | O30.119 | Triplet pregnancy with two or more monochorionic fetuses, unspecified trimester |
| | O30.121 | Triplet pregnancy with two or more monoamniotic fetuses, first trimester |
| | O30.122 | Triplet pregnancy with two or more monoamniotic fetuses, second trimester |
| | O30.123 | Triplet pregnancy with two or more monoamniotic fetuses, third trimester |
| | O30.129 | Triplet pregnancy with two or more monoamniotic fetuses, unspecified trimester |
| | O30.131 | Triplet pregnancy, trichorionic/triamniotic, first trimester |
| | O30.132 | Triplet pregnancy, trichorionic/triamniotic, second trimester |
| | O30.133 | Triplet pregnancy, trichorionic/triamniotic, third trimester |
| | O30.139 | Triplet pregnancy, trichorionic/triamniotic, unspecified trimester |
| | O30.211 | Quadruplet pregnancy with two or more monochorionic fetuses, first trimester |
| | O30.212 | Quadruplet pregnancy with two or more monochorionic fetuses, second trimester |
| | O30.213 | Quadruplet pregnancy with two or more monochorionic fetuses, third trimester |
| | O30.219 | Quadruplet pregnancy with two or more monochorionic fetuses, unspecified trimester |
| | O30.221 | Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester |
| | O30.222 | Quadruplet pregnancy with two or more monoamniotic fetuses, second trimester |
| | O30.223 | Quadruplet pregnancy with two or more monoamniotic fetuses, third trimester |
| | O30.229 | Quadruplet pregnancy with two or more monoamniotic fetuses, unspecified trimester |
| | O30.291 | Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester |
| | O30.292 | Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester |
| | O30.293 | Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester |
| | O30.299 | Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester |
| | O31.20X0 | Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, not applicable or unspecified |
| | O33.7XX0 | Maternal care for disproportion due to other fetal deformities, not applicable or unspecified |
| | O33.7XX1 | Maternal care for disproportion due to other fetal deformities, fetus 1 |
| | O33.7XX2 | Maternal care for disproportion due to other fetal deformities, fetus 2 |
| | O33.7XX3 | Maternal care for disproportion due to other fetal deformities, fetus 3 |
| | O33.7XX4 | Maternal care for disproportion due to other fetal deformities, fetus 4 |
| | O33.7XX5 | Maternal care for disproportion due to other fetal deformities, fetus 5 |
| | O33.7XX9 | Maternal care for disproportion due to other fetal deformities, other fetus |
| | O34.211 | Maternal care for low transverse scar from previous cesarean delivery |
| | O34.212 | Maternal care for vertical scar from previous cesarean delivery |
| | O34.218 | Maternal care for other type scar from previous cesarean delivery |
| | O34.219 | Maternal care for unspecified type scar from previous cesarean delivery |
| | O35.9XX0 | Maternal care for (suspected) fetal abnormality and damage, unspecified, not applicable or unspecified |
| | O35.9XX1 | Maternal care for (suspected) fetal abnormality and damage, unspecified, fetus 1 |
| | O35.9XX2 | Maternal care for (suspected) fetal abnormality and damage, unspecified, fetus 2 |
| | O35.9XX3 | Maternal care for (suspected) fetal abnormality and damage, unspecified, fetus 3 |
| | O35.9XX4 | Maternal care for (suspected) fetal abnormality and damage, unspecified, fetus 4 |
| | O35.9XX5 | Maternal care for (suspected) fetal abnormality and damage, unspecified, fetus 5 |
| | O35.9XX9 | Maternal care for (suspected) fetal abnormality and damage, unspecified, other fetus |
| | O36.8310 | Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, not applicable or unspecified |
| | O36.8311 | Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 1 |
| | O36.8312 | Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 2 |
| | O36.8313 | Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 3 |
| | O36.8314 | Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 4 |
| | O36.8315 | Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 5 |
| | O36.8319 | Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, other fetus |
| | O36.90X0 | Maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified |
| | O36.90X1 | Maternal care for fetal problem, unspecified, unspecified trimester, fetus 1 |
| | O36.90X2 | Maternal care for fetal problem, unspecified, unspecified trimester, fetus 2 |
| | O36.90X3 | Maternal care for fetal problem, unspecified, unspecified trimester, fetus 3 |
| | O36.90X4 | Maternal care for fetal problem, unspecified, unspecified trimester, fetus 4 |
| | O36.90X5 | Maternal care for fetal problem, unspecified, unspecified trimester, fetus 5 |
| | O36.90X9 | Maternal care for fetal problem, unspecified, unspecified trimester, other fetus |
| | O43.211 | Placenta accreta, first trimester |
| | O43.212 | Placenta accreta, second trimester |
| | O43.213 | Placenta accreta, third trimester |
| | O43.219 | Placenta accreta, unspecified trimester |
| | O43.221 | Placenta increta, first trimester |
| | O43.222 | Placenta increta, second trimester |
| | O43.223 | Placenta increta, third trimester |
| | O43.229 | Placenta increta, unspecified trimester |
| | O43.231 | Placenta percreta, first trimester |
| | O43.232 | Placenta percreta, second trimester |
| | O43.233 | Placenta percreta, third trimester |
| | O43.891 | Other placental disorders, first trimester |
| | O43.892 | Other placental disorders, second trimester |
| | O43.893 | Other placental disorders, third trimester |
| | O43.899 | Other placental disorders, unspecified trimester |
| | O44.30 | Partial placenta previa with hemorrhage, unspecified trimester |
| | O44.31 | Partial placenta previa with hemorrhage, first trimester |
| | O44.32 | Partial placenta previa with hemorrhage, second trimester |
| | O44.33 | Partial placenta previa with hemorrhage, third trimester |
| | O44.43 | Low lying placenta NOS or without hemorrhage, third trimester |
| | O44.50 | Low lying placenta with hemorrhage, unspecified trimester |
| | O44.51 | Low lying placenta with hemorrhage, first trimester |
| | O44.52 | Low lying placenta with hemorrhage, second trimester |
| | O44.53 | Low lying placenta with hemorrhage, third trimester |
| | O99.211 | Obesity complicating pregnancy, first trimester |
| | Z03.72 | Encounter for suspected placental problem ruled out |
| | Z34.92 | Encounter for supervision of normal pregnancy, unspecified, second trimester |
| | Z68.30 | Body mass index [BMI] 30.0-30.9, adult |
| | Z68.31 | Body mass index [BMI] 31.0-31.9, adult |
| | Z68.32 | Body mass index [BMI] 32.0-32.9, adult |
| | Z68.33 | Body mass index [BMI] 33.0-33.9, adult |
| | Z68.34 | Body mass index [BMI] 34.0-34.9, adult |
| ICD-10 CM (Effective date 10/01/2017) | O00.101 | Right tubal pregnancy without intrauterine pregnancy |
| | O00.102 | Left tubal pregnancy without intrauterine pregnancy |
| | O00.109 | Unspecified tubal pregnancy without intrauterine pregnancy |
| | O00.111 | Right tubal pregnancy with intrauterine pregnancy |
| | O00.112 | Left tubal pregnancy with intrauterine pregnancy |
| | O00.119 | Unspecified tubal pregnancy with intrauterine pregnancy |
| | O00.201 | Right ovarian pregnancy without intrauterine pregnancy |
| | O00.202 | Left ovarian pregnancy without intrauterine pregnancy |
| | O00.209 | Unspecified ovarian pregnancy without intrauterine pregnancy |
| | O00.211 | Right ovarian pregnancy with intrauterine pregnancy |
| | O00.212 | Left ovarian pregnancy with intrauterine pregnancy |
| | O00.219 | Unspecified ovarian pregnancy with intrauterine pregnancy |
| | Z36.0 | Encounter for antenatal screening for chromosomal anomalies |
| | Z36.1 | Encounter for antenatal screening for raised alphafetoprotein level |
| | Z36.2 | Encounter for other antenatal screening follow-up |
| | Z36.3 | Encounter for antenatal screening for malformations |
| | Z36.4 | Encounter for antenatal screening for fetal growth retardation |
| | Z36.5 | Encounter for antenatal screening for isoimmunization |
| | Z36.81 | Encounter for antenatal screening for hydrops fetalis |
| | Z36.82 | Encounter for antenatal screening for nuchal translucency |
| | Z36.83 | Encounter for fetal screening for congenital cardiac abnormalities |
| | Z36.84 | Encounter for antenatal screening for fetal lung maturity |
| | Z36.85 | Encounter for antenatal screening for Streptococcus B |
| | Z36.86 | Encounter for antenatal screening for cervical length |
| | Z36.87 | Encounter for antenatal screening for uncertain dates |
| | Z36.88 | Encounter for antenatal screening for fetal macrosomia |
| | Z36.89 | Encounter for other specified antenatal screening |
| | Z36.8A | Encounter for antenatal screening for other genetic defects |
| | Z36.9 | Encounter for antenatal screening, unspecified |
| ICD-10 CM (Effective date 10/01/2018) | A92.5 | Zika virus disease |
| ICD-10 CM (Effective date 10/01/2020) | O34.22 | Maternal care for cesarean scar defect (isthmocele) |
| ICD-10 CM (Effective date 11/11/2020) | O09.32 | Supervision of pregnancy with insufficient antenatal care, second trimester |
| | O26.891 | Other specified pregnancy related conditions, first trimester |
| O26.892 | Other specified pregnancy related conditions, second trimester | |
| O26.893 | Other specified pregnancy related conditions,third trimester | |
| | Z3A.01 | Less than 8 weeks gestation of pregnancy |
| ICD-10 CM (Effective date 11/01/2021) | O35.10X0 | Maternal care for (suspected) chromosomal abnormality in fetus, unspecified, not applicable or unspecified |
| | O35.10X2 | Maternal care for (suspected) chromosomal abnormality in fetus, unspecified, fetus 2 |
| | O35.10X3 | Maternal care for (suspected) chromosomal abnormality in fetus, unspecified, fetus |
| | O35.10X4 | Maternal care for (suspected) chromosomal abnormality in fetus, unspecified, fetus 4 |
| | O35.10X5 | Maternal care for (suspected) chromosomal abnormality in fetus, unspecified, fetus 5 |
| | O35.10X9 | Maternal care for (suspected) chromosomal abnormality in fetus, unspecified, other fetus |
| | O35.11X0 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, not applicable or unspecified |
| | O35.11X1 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, fetus 1 |
| | O35.11X2 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, fetus 2 |
| | O35.11X3 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, fetus 3 |
| | O35.11X4 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, fetus 4 |
| | O35.11X5 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, fetus 5 |
| | O35.11X9 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, other fetus |
| | O35.12X0 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, not applicable or unspecified |
| | O35.12X1 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, fetus 1 |
| | O35.12X2 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, fetus 2 |
| | O35.12X3 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, fetus 3 |
| | O35.12X4 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, fetus 4 |
| | O35.12X5 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, fetus 5 |
| | O35.12X9 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, other fetus |
| | O35.13X0 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, not applicable or unspecified |
| | O35.13X1 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, fetus 1 |
| | O35.13X2 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, fetus 2 |
| | O35.13X3 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, fetus 3 |
| | O35.13X4 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, fetus 4 |
| | O35.13X5 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, fetus 5 |
| | O35.13X9 | Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, other fetus |
| | O35.14X0 | Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, not applicable or unspecified |
| | O35.14X1 | Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, fetus 1 |
| | O35.14X2 | Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, fetus 2 |
| | O35.14X3 | Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, fetus 3 |
| | O35.14X4 | Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, fetus 4 |
| | O35.14X5 | Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, fetus 5 |
| | O35.14X9 | Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, other fetus |
| | O35.15X0 | Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality, not applicable or unspecified |
| | O35.15X1 | Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality, fetus 1 |
| | O35.15X2 | Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality, fetus 2 |
| | O35.15X3 | Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality, fetus 3 |
| | O35.15X4 | Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality, fetus 4 |
| | O35.15X5 | Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality, fetus 5 |
| | O35.15X9 | Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality, other fetus |
| | O35.19X0 | Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, not applicable or unspecified |
| | O35.19X1 | Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, fetus 1 |
| | O35.19X2 | Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, fetus 2 |
| | O35.19X3 | Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, fetus 3 |
| | O35.19X4 | Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, fetus 4 |
| | O35.19X5 | Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, fetus 5 |
| | O35.19X9 | Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, other fetus |
| | O35.3XX1 | Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 1 |
| | O35.3XX2 | Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 2 |
| | O35.3XX3 | Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 3 |
| | O35.3XX4 | Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 4 |
| | O35.3XX5 | Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 5 |
| | O35.3XX9 | Maternal care for (suspected) damage to fetus from viral disease in mother, other fetus |
| | O35.8XX1 | Maternal care for other (suspected) fetal abnormality and damage, fetus 1 |
| | O35.8XX2 | Maternal care for other (suspected) fetal abnormality and damage, fetus 2 |
| | O35.8XX3 | Maternal care for other (suspected) fetal abnormality and damage, fetus 3 |
| | O35.8XX4 | Maternal care for other (suspected) fetal abnormality and damage, fetus 4 |
| | O35.8XX5 | Maternal care for other (suspected) fetal abnormality and damage, fetus 5 |
| | O35.8XX9 | Maternal care for other (suspected) fetal abnormality and damage, other fetus |
| | Z03.71 | Encounter for suspected problem with amniotic cavity and membrane ruled out |
| | Z03.72 | Encounter for suspected placental problem ruled out |
| | Z03.73 | Encounter for suspected fetal anomaly ruled out |
| | Z03.74 | Encounter for suspected problem with fetal growth ruled out |
| | Z03.75 | Encounter for suspected cervical shortening ruled out |
| | Z03.79 | Encounter for other suspected maternal and fetal conditions ruled out |
| ICD-10 CM (Effective date 10/01/2024) | E66.811 - E66.813 | Obesity, classs 1, 2, 3 |
| ICD-10 CM (Effective date 10/01/2024) | E66.89 | Other obesity not elsewhere classified |
| ICD-10 CM (Effective date 10/01/2022) | O09.891 | Supervision of other high risk pregnancies, first trimester |
| ICD-10 CM (Effective date 10/01/2022) | O35.10X1 | Maternal care for (suspected) chromosomal abnormality in fetus, unspecified, fetus |
| ICD-10 CM (Termination date 09/30/2024) |
|
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| ICD-10 CM (Termination date 09/30/2022) |
|
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| |
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|
As per Correct Coding Guidelines
|
Date | Action | Description | |
| 09/11/24 |
| ICD 10 CM Added: (E66.811, E66.812, E66.813, E66.89) Effective on 10/1/2024, ICD-10 CM Delete (E66.8) Effective Date 09/30/2024 | |
| 06/26/24 |
| ICD 10 CM added: O21.9 - Vomiting of pregnancy, unspecified and Z3A.09 - 9 weeks gestation of pregnancy were added effective on 10/1/2015 | |
| 03/06/23 |
| ICD-10 CM added effective date 11/01/2021 | |
| 02/20/23 | Replace policy - coding update only | ICD 10 CM:O351XX0 deleted on 10/1/2022. O35.10X0-O3510X9 were added on 10/1/2022 | |
| 11/16/22 |
| ICD 10 CM:O351XX1 deleted on 10/1/2022. ICD 10 CM:O3510X1 effective on 10/1/2022. | |
| 10/14/22 | Replace policy - coding update only | ICD 10 CM:O350XX0 deleted on 10/1/2022 | |
| 06/28/22 | Update policy | ICD 10 CM added: O09.891 eff 1/1/2022 | |
| 03/15/22 | Update policy | ICD 10 CM added based on revision following SMFM Coding Committee Task Force: Bsat F, Fisher B, Hart B, Rad S, Esposito M, Malish T, Jain VD Adapted from https://doi.org/10.1055/s-0041- | |
| 12/22/21 | Replace policy | Added ICD-10 CM - Z34.92-Encounter for supervision of normal pregnancy, unspecified, second trimeste and ICD-10 CM O34.80-Maternal vare for other abnormalities of pelvic organs | |
| 11/11/20 | Annual review, Policy Archived | Interqual Criteria added. Diagnosis list reviewed and updated by medical advisor as per recomendations of Physician Advisory Committee. PAC agreed to archive this policy due to it is a standard of care. | |
| 11/14/19 | Annual review | No changes as per Provider Advisory Committee opinions | |
| 11/14/18 | ICD-10CM | Added ICD-10 (A92.5 Zika virus) effective at 10/1/2018 by recommendation of Medical Advisory Committee | |
| 09/21/18 | ICD-10CM | Added ICD-10 (O46.91 and A 92.0) | |
| 09/26/16 | ICD-10CM | Added | |
| 12/28/15 | ICD-10CM | Added | |
| 10/07/15 | ICD-10CM | Added | |
| 04/16/13 | Created | New policy |