Pregnancy, childbirth and the puerperium
- Codes from this chapter are used for pregnancy and conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium. These codes are used ONLY on maternal records.
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- Codes from this chapter are used for pregnancy and conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium. These codes are used ONLY on maternal records.
Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days 3rd trimester- 28 weeks 0 days until delivery
Use additional code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code from chapter 15.
O82 Encounter for cesarean delivery without indication
O94 Sequelae of complication of pregnancy, childbirth, and the puerperium
Note: This category is to be used to indicate conditions in O00-O77.-, O85-O94 and O98-O9A.- as the cause of late effects. The sequelae include conditions specified as such, or as late effects, which may occur at any time after the puerperium
O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O9A Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
This note further define, or give examples of, the content of the code or category.
List of terms is included under some codes. These terms are the conditions for which that code is to be used.
The terms may be synonyms of the code title, or, in the case of “other specified” codes, the terms are a list of the various conditions assigned to that code.
The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.
For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first, if applicable, followed by the manifestation.
Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code.
These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
A type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note indicates that the code excluded should never be used at the same time
as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 Excludes note represents 'Not included here'. An Excludes2 note indicates that the condition excluded is not part of the condition it is excluded from
but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.
A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
The sequencing depends on the circumstances of the encounter.
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.
For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first, if applicable, followed by the manifestation.
Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code.
These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.