Wiki ICD-10-CM Coding Question

[hollymihu@gmail.com]

There is a patient I am coding for with a personal history of demise of monochorionic twin gestation at 32 weeks, and I am trying to decide whether to use Z87.59 or O09.292. Would either of these codes work, would one work better than the other, or could they possibly work together?

 

[TThivierge]

Hi Holly
It sounds like you d use both since no Excludes Rule 1 on them but it also depends on exact documentation. From what your telling me you code both. I d code first 009.292 first since pt must be in 3rd trimester but high risk pregnancy. Lastly use dx code Z87.59 which cannot be used as first dx code and defines history. Normally Z dx codes start with blocks Z87 and Z86 define past personal medical history of the patient.
Well hope helped you somewhat.
Lady T

 

[Cmama12]

I don't think there's a need for both codes. I would stick with the O09. code