Wiki prior MCDA twin pregnancy with spontaneous loss of one twin at 19w, now with singleton

I am billing for the delivery for prior MCDA twin pregnancy with spontaneous loss of one twin at 19w, now with singleton. Would you bill the delivery using the ICD 10 code below?
Thank you.

[td]Continuing pregnancy after intrauterine death of one fetus or more, third trimester

[td width="1%"]O31.23[/td]

[/td]

Thank you so much!

MaureenDL123 said:

I am billing for the delivery for prior MCDA twin pregnancy with spontaneous loss of one twin at 19w, now with singleton. Would you bill the delivery using the ICD 10 code below?
Thank you.

[td]Continuing pregnancy after intrauterine death of one fetus or more, third trimester

[td width="1%"]O31.23[/td]
[/td]

Click to expand...

Normally you will use the code that is directed at the fetus whose issue is currently being addressed. If this visit is all about handling fetus 2, then the 7th character is 2. The code would be O31.11x2 (Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2).

If that is now past and the fetus 1 is continuing, then the final character is 1 (O31.11x1, … fetus 1).

If the ob-gyn is evaluating both fetuses (the physician might do an ultrasound to see the status of fetus 1), then use the code twice with a 7th digit of 1 (linked to that evaluation) and 2 (linked to that evaluation or E/M service).