Wiki Intrauterine pregnancy???

Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
G
Code: O00.9

Code Name: ICD-10 Code for Ectopic pregnancy, unspecified

Block: Ectopic pregnancy, unspecified

O00

Use additional code from category O08 to identify any associated complication

Includes: ruptured ectopic pregnancy

Details: Pregnancy with abortive outcome (O00-O08)

Excludes 1: continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)

Guidelines: Pregnancy, childbirth and the puerperium (O00-O9A)

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 from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy

Excludes 1: supervision of normal pregnancy (Z34.-)

Excludes 2: mental and behavioral disorders associated with the puerperium (F53)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

For more details on O00.9 , ICD-10 Code for Ectopic pregnancy, unspecified , visit: https://coder.aapc.com/icd-10-codes/

keke74

Guru
Messages
138
Location
Birmingham, AL
Best answers
0
What ICD-9 code should be used for a intrauterine pregnancy. I have asked my co-workers this question before & I was told to use 646.83, but I'm still not sure about using this code. I don't think 633.91 is correct either if there's no documentation of an ectopic pregnancy or intrauterine death which rules out 656.4X. Any help would be appreciated.
 

mitchellde

True Blue
Messages
13,387
Location
Columbia, MO
Best answers
1
it idepends on what the visit is for, if it is a visit to check the pregnancy it is V22.1 or V22.0. If it is for something else and the patient also is pregnant then it depends on how it is documented, If the provider documents that the current condition is not affecting the management of the pregnancy then you code the problem and use V22.2 secondary. Otherwise we assume all conditions affect the pregnancy and you will use a chapter 11 code first listed, such as 648.xx, whereas the 646.xx codes indicate there is complication with the pregnancy, and if that is documented as the reason for the encounter then it is appropriate. Therefore if you can provide more information as to the nature of the encounter then I can answer more specific.
 

keke74

Guru
Messages
138
Location
Birmingham, AL
Best answers
0
Thanks for your response. I have a couple of scenarios. 1) The patient comes in with pelvic pain or 2) Patient comes in with vaginal bleed, then final dx is just Intrauterine pregnancy. Should I consider this a complication?
 
Top