Wiki Hospital Post Partum Diagnosis Coding

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rebutton23

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Hiya! I am trying to figure out what diagnosis codes I should be using when I am billing non global after a delivery in the hospital. I know that if there are continued complications you would code those but if there isn't then that is where I am getting myself mixed up. So if the patient has delivered and it is the next day and we aren't addressing any complications what diagnosis codes should I use? I've seen some say Z39.0 but others say that isn't right for this situation. Do I use Z39.2 or is that only for the clinic PP visits? Also does this code change based on other circumstances? For example, if the mother is having issues with lactation, a lactation discussion happens (such as discussing when to supplement or suggestions), or even if a discussion happens and they set up or give them what they need to get connected with a specialist, would you use Z39.1 instead? Or if they discuss that the mother is feeling depressed or could potentially have/develop PP depression do you use Z13.39, Z13.31, or Z13.32??? Or does that depend on how involved they are such as feeling that way being mentioned vs giving resources or referrals to a MH specialist? Or do they have to actually prescribe the mother something for it for it to be coded that way?

Any help would be greatly appreciated!!!
 
Z39.0 has the note "Care and observation in uncomplicated cases when the delivery occurs outside a healthcare facility" which I don't think applies to your described situation. I don't often have the scenario you describe for billing hospital routine post-partum care separately, but Z39.2 seems like the correct diagnosis for that.
 
rebutton23 said:
Hiya! I am trying to figure out what diagnosis codes I should be using when I am billing non global after a delivery in the hospital. I know that if there are continued complications you would code those but if there isn't then that is where I am getting myself mixed up. So if the patient has delivered and it is the next day and we aren't addressing any complications what diagnosis codes should I use? I've seen some say Z39.0 but others say that isn't right for this situation. Do I use Z39.2 or is that only for the clinic PP visits? Also does this code change based on other circumstances? For example, if the mother is having issues with lactation, a lactation discussion happens (such as discussing when to supplement or suggestions), or even if a discussion happens and they set up or give them what they need to get connected with a specialist, would you use Z39.1 instead? Or if they discuss that the mother is feeling depressed or could potentially have/develop PP depression do you use Z13.39, Z13.31, or Z13.32??? Or does that depend on how involved they are such as feeling that way being mentioned vs giving resources or referrals to a MH specialist? Or do they have to actually prescribe the mother something for it for it to be coded that way?

Any help would be greatly appreciated!!!
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Rebutton,
If the patient is getting care and in postpartum time (6 weeks after birthing) list dx related to illness or problem first then Z code last. Here are a few examples problem after birthing. But this does not fit abortion or miscarriage which is differ dx blocks.
Hemorrhoids O22 dx block
Maternal conditions 035-O36
HTN O1O block
Dm dx O12 or O24 block
UTI O23 block
Infections )86
High Risk 009
Malnutrition Prego O25.3
Postpartum Depression dx F53.0 or 090.6
Prego and Drug Use 099.32 and dx F11-F16
Prego Smoking Cigs dx O99.33 and F17
Bacterial Infection see dx O99.82 and Z22.330
Infection of OB wound O86
Well hope this data helps you somewhat in your coding dilemma
Lady T
 
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