Pregnancy, Childbirth and the Puerperium

Codes Discussed: O00-O9A (Pregnancy, childbirth, and the puerperium), O99 (Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth, and puerperium), O99.844 (Bariatric surgery status complicating childbirth), O33.3 (Maternal care for disproportion due to outlet contraction of pelvis), O36.093 (Maternal care for other rhesus isoimmunization, third trimester), Z34 (Encounter for supervision of normal pregnancy), O09 (Supervision of high-risk pregnancy), Z37 (Outcome of delivery), Z3A (Weeks of gestation), Z3A.15 (15 weeks gestation of pregnancy), Z33.1 (Pregnant state, incidental), O10-O16 (Edema, proteinuria, and hypertensive disorders in pregnancy, childbirth, and puerperium), O10 (Pre-existing hypertension complicating pregnancy, childbirth, and puerperium), O11 (Pre-existing hypertension with pre-eclampsia), O24 (Diabetes mellitus in pregnancy, childbirth, and puerperium), O24.4 (Gestational diabetes mellitus), O26.64 (Intrahepatic cholestasis of pregnancy), O35 (Maternal care for known or suspected fetal abnormality and damage), O36 (Maternal care for other fetal problems), O42 (Premature rupture of membranes), O80 (Encounter for full-term uncomplicated delivery), O82 (Encounter for cesarean delivery without indication), O99.212 (Obesity complicating pregnancy, second trimester), E66.01 (Morbid obesity), O24.02 (Pre-existing diabetes mellitus, type 1, in childbirth), O24.419 (Gestational diabetes mellitus in pregnancy, unspecified control), O24.013 (Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester), O24.439 (Gestational diabetes mellitus in the puerperium, unspecified control), Z3A.39 (39 weeks gestation of pregnancy), Z37.0 (Single live birth), Z37.2 (Twins, both liveborn), 0W8NXZZ (Episiotomy), O24.424 (Gestational diabetes mellitus in childbirth, insulin controlled), O24.414 (Gestational diabetes mellitus in pregnancy, insulin controlled), Z79.4 (Long-term current use of insulin), O42.02 (Full-term premature rupture of membranes, onset of labor within 24 hours of rupture), O41.1230 (Chorioamnionitis, third trimester, not applicable or unspecified fetus), O75.81 (Maternal exhaustion complicating labor and delivery), Z3A.40 (40 weeks gestation of pregnancy), O41.123 (Invalid chorioamnionitis code), O42.02X0 (Invalid premature rupture of membranes code), O75.81X0 (Invalid maternal exhaustion code), O09.33 (Supervision of pregnancy with insufficient antenatal care, third trimester), O02.1 (Missed abortion), O36.4 (Invalid maternal care for intrauterine death code), O36.4XX0 (Maternal care for intrauterine death, not applicable or unspecified fetus), O02.89 (Other abnormal products of conception), O24.429 (Gestational diabetes mellitus in childbirth, unspecified control), O24.420 (Gestational diabetes mellitus in childbirth, diet controlled), O09.513 (Supervision of elderly primigravida, third trimester), O11.4 (Pre-existing hypertension with pre-eclampsia, complicating childbirth), O10.02 (Pre-existing essential hypertension complicating childbirth), O99.214 (Obesity complicating childbirth), Z68.35 (Body mass index 35.0-35.9, adult), O11.9 (Pre-existing hypertension with pre-eclampsia, unspecified trimester), O10.013 (Pre-existing essential hypertension complicating pregnancy, third trimester), O42.913 (Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester), O30.043 (Twin pregnancy, dichorionic/diamniotic, third trimester), O64.1XX2 (Obstructed labor due to breech presentation, fetus 2), O60.14X1 (Preterm labor third trimester with preterm delivery third trimester, fetus 1), O60.14X2 (Preterm labor third trimester with preterm delivery third trimester, fetus 2), Z3A.36 (36 weeks gestation of pregnancy), O64.11 (Invalid obstructed labor code), O64.12 (Invalid obstructed labor code), O32.1XX2 (Maternal care for breech presentation, fetus 2), O60.14X0 (Preterm labor third trimester with preterm delivery third trimester, not applicable or unspecified fetus), O72.1 (Other immediate postpartum hemorrhage), O90.81 (Anemia of the puerperium), Z3A.38 (38 weeks gestation of pregnancy), O99.03 (Anemia complicating the puerperium), O72.2 (Delayed and secondary postpartum hemorrhage), O99.824 (Streptococcus B carrier state complicating childbirth), O70.1 (Second-degree perineal laceration during delivery), O09.613 (Supervision of young primigravida, third trimester), O09.30 (Supervision of pregnancy with insufficient antenatal care, unspecified trimester), O60.23X0 (Preterm labor without delivery, third trimester, not applicable or unspecified fetus), O14.04 (Mild to moderate pre-eclampsia, complicating childbirth), O30.113 (Triplet pregnancy, monochorionic/triamniotic, third trimester), Z37.51 (Triplets, all liveborn), Z3A.34 (34 weeks gestation of pregnancy), O30.103 (Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester), O14.03 (Mild to moderate pre-eclampsia, third trimester)

Topics Covered: ICD-10-CM pregnancy coding, ICD-10-CM childbirth coding, ICD-10-CM puerperium coding, ICD-10-CM Chapter 15 coding, obstetric coding guidelines, OB coding, pregnancy and fetal development, products of conception, placenta, amnion, chorion, chorioamniotic membrane, multiple gestation coding, twin pregnancy coding, fraternal twins, identical twins, monochorionic pregnancy, monoamniotic pregnancy, dichorionic diamniotic twins, gestational age coding, trimester coding, first trimester, second trimester, third trimester, antepartum coding, intrapartum coding, peripartum coding, postpartum coding, stages of labor, rupture of membranes, spontaneous rupture of membranes, artificial rupture of membranes, normal spontaneous vaginal delivery, cesarean delivery coding, retained products of conception, dilation and curettage, fetal station, fetal lie, transverse lie, fetal attitude, fetal presentation, cephalic presentation, vertex presentation, breech presentation, shoulder presentation, gravida and para, GTPAL, Chapter 15 code sequencing, Excludes1 notes, Excludes2 notes, obstetric sequencing instructions, indexing tips for obstetrics, trimester designation, in childbirth code selection, 7th character fetus identification, placeholder X coding, prenatal visit coding, antepartum visit coding, normal pregnancy supervision coding, high-risk pregnancy coding, principal diagnosis for vaginal delivery, principal diagnosis for cesarean delivery, outcome of delivery coding, weeks of gestation coding, pre-existing conditions complicating pregnancy, pregnancy-induced conditions, incidental pregnancy coding, hypertension in pregnancy, pre-existing hypertension in pregnancy, pre-eclampsia coding, HELLP syndrome, eclampsia coding, gestational diabetes coding, pre-existing diabetes in pregnancy, insulin-controlled gestational diabetes, diet-controlled gestational diabetes, oral hypoglycemic control, intrahepatic cholestasis of pregnancy, fetal abnormality affecting maternal care, fetal spina bifida, Rh isoimmunization, ABO isoimmunization, poor fetal growth, excessive fetal growth, intrauterine fetal death, sepsis in pregnancy, sepsis in the puerperium, premature rupture of membranes coding, PROM coding, preterm labor coding, obstructed labor coding, postpartum hemorrhage coding, uterine atony, postpartum anemia coding, perineal laceration coding, Group B strep carrier in childbirth, uncomplicated delivery coding, cesarean delivery without indication, episiotomy coding, Code Purple practice, Code Red assessment, obstetric coding case scenarios