Wiki Routine Outpatient Prenatal Visits

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
B
Code: Z34
Encounter for supervision of other normal pregnancy, third trimester
Parent Code Notes: Z34
Excludes1: any complication of pregnancy (O00-O9A)
encounter for pregnancy test (Z32.0-)
encounter for supervision of high risk pregnancy (O09.-)

Category Notes
Persons encountering health services in circumstances related to reproduction (Z30-Z3A)

Coding Guidelines
Factors influencing health status and contact with health services (Z00-Z99)
Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

kbrooks15

Contributor
Messages
11
Location
New Haven, CT
Best answers
0
I am having trouble finding definite clarification on this question.

Z34.- codes should not be used with Chapter 15 codes at all, correct?
If they have a chapter 15 code listed, do I have to use the supervision of high risk pregnancy code?

Any help is appreciated. Thank you.
 

CodingKing

True Blue
Messages
3,950
Best answers
1
Correct if you have an O code you would not bill Z34.-. you wouldn't necessarily code Supervision of High risk pregnancy either. You can have other O codes without meeting the criteria of O9.-

For routine prenatal outpatient visits for patients with high-risk pregnancies, a code from category O09, Supervision of high-risk pregnancy.

You can be a high risk pregnancy without any actual complications. If they are having complications its not routine prenatal outpatient visit.
 
Last edited:
Messages
112
Location
Chennai
Best answers
0
Z34
Excludes1: any complication of pregnancy (O00-O9A)
encounter for pregnancy test (Z32.0-)
encounter for supervision of high risk pregnancy (O09.-)
So you can't code these together
 

kbrooks15

Contributor
Messages
11
Location
New Haven, CT
Best answers
0
Correct if you have an O code you would not bill Z34.-. you wouldn't necessarily code Supervision of High risk pregnancy either. You can have other O codes without meeting the criteria of O9.-



You can be a high risk pregnancy without any actual complications. If they are having complications its not routine prenatal outpatient visit.

So if they are coming for a prenatal visit and have vomiting qualifying for O21.0, does that just get coded with the weeks of gestation code (Z3A.-) for that visit?

Forgive me as I am still a new coder but determined to get OB/GYN coding correct.
 
Messages
112
Location
Chennai
Best answers
0
For Z3A section has a note saying,
Code first complications of pregnancy, childbirth and the puerperium (O00-O9A)
So you can code both.
 

vballew

Networker
Messages
32
Best answers
0
Is a code from Z3A required or optional? Everything we read can be interpreted differently.:confused:
 
Top