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Icd 10 Code For Metabolic Acidosis

Unm Hospitalist Wiki / Icd 10 Codes Suggestions

Unm Hospitalist Wiki / Icd 10 Codes Suggestions

NMVAHCS-Raymond G. Murphy Medical Center. Suggestions collected from ACP Hospitalist Coding Corner, American Health Information Management Association on Clinical Documentation Improvement for ICD 10 website, Nuance Role Specific Physician-Internal Medicine/Hospitalist ICD 10 training and the NMVAHCS ICD 10 coders. The purpose of ICD 10 is to document the severity of illness of your patient!!!! This translates to reimbursement, even for the VA! Probably and likely due to: can be billed as if the condition exists Possibly, suspected, questionable, consistent with, appears to be, rule out (R/O) diagnosis: should be coded for the condition as if the condition exists however maybe coded as a symptom code per the ABQVA coders. However, per VISN 10 they should all be coded as if the condition exists. Again, try to link your conditions with words like Due to, likely due to, because of, associated with, and, with. All acceptable words when you are treating a condition like it exist. Example Small cell lung carcinoma with acute respiratory failure or Acute nose bleed due to chronic lymphocytic leukemia with thrombocytopenia Be specific: Left or Right, Acute or Chronic, etc. Use the word Acute whenever appropriate otherwise it will be assumed chronic. Avoid use of symptom words like dizzy, fainting or chest pain. Use diagnostic language whenever possible. Bacteremia(positive blood cx only). This is a lab finding only. Better to use the below terms. Sepsis:SIRS + infection (document suspected or known source of infection) Severe Sepsis:above + organ dysfunction, hypotension, hypoperfusion (lactic acidosis, SBP<90, or SBP drop of 40mm Hg from normal). Must document the organ affected (respiratory failure, encephalopathy, AKI). Septic Shock:severe sepsis with hypotension unresponsi Continue reading >>

Warning: All Sepsis Is Severe Sepsis

Warning: All Sepsis Is Severe Sepsis

In the coding and clinical documentation community, we are still trying to sort out sepsis. In my previous article on this topic ( ), I made some recommendations on how to approach sepsis. We need to revisit this. We have now had some time to live with the Sepsis-3 criteria, established by the Third International Consensus Definitions for Sepsis and Septic Shock published in the Journal of the American Medical Association (JAMA). In January 2017, the Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2016 (SSC-2016) was issued, and I think it since really has been flying under the radar. The details regarding how to make the diagnosis of sepsis are not laid out in the article. SSC-2012 had Table 1, Diagnostic Criteria for Sepsis, but SSC-2016 does not have a correlate. The current guidelines focus on recommendations for treatment. It is unclear to me whether the authors intend readers to refer back to the SSC-2012 publication for the diagnostic criteria or whether they advocate migrating to the Sepsis-3 criteria. One of the main reasons we are in this pickle is that a grave disservice was done to the clinical criteria by reducing them merely to the SIRS (systemic inflammatory response syndrome) criteria. The definition of sepsis was presumed or confirmed infection plus systemic manifestations of infection, and Sepsis-2 included inflammatory, hemodynamic, organ dysfunction, and tissue perfusion variables, in addition to the general variables. Although they are very simple to recall and apply, the problem with using SIRS criteria exclusively is that they are so incredibly nonspecific, and consequently, patients were frequently labeled as septic inappropriately. The definitions of sepsis and septic shock are identical to Continue reading >>

Invokamet - Insurance Coverage - Icd-10 Support | Janssen Carepath

Invokamet - Insurance Coverage - Icd-10 Support | Janssen Carepath

Please refer to the current policy for the latest codes since these codes are subject to change. The codes provided are not intended to be exhaustive. Please consult your ICD-10 code book for additional information. Third-party reimbursement is affected by many factors. This document and the information and assistance provided by Janssen CarePath are presented for informational purposes only. They do not constitute reimbursement or legal advice. Janssen CarePath does not promise or guarantee coverage, levels of reimbursement, or payment. Similarly, all CPT* and HCPCS codes are supplied for informational purposes only and represent no statement, promise, or guarantee, expressed or implied, by Janssen or its third-party service providers that these codes will be appropriate or that reimbursement will be made. The fact that a drug, device, procedure, or service is assigned an HCPCS code and a payment rate does not imply coverage by the Medicare program, but indicates only how the product, procedure, or service may be paid if covered by the Medicare program. Laws, regulations, and policies concerning reimbursement are complex and are updated frequently. Accordingly, the information may not be current or comprehensive. Janssen and its third-party service providers make no representations or warranties, expressed or implied, as to the accuracy of the information provided. In no event shall the third-party service providers or Janssen, or their employees or agents, be liable for any damages resulting from or relating to any information provided by, or accessed to or through, Janssen CarePath. All HCPs and other users of this information agree that they accept responsibility for the use of this program. * CPT Current Procedural Terminology. CPT is a registered trademark of the Continue reading >>

Snomed Codes Vs Icd: Transitioning Your Ehr Code Set | Practice Fusion

Snomed Codes Vs Icd: Transitioning Your Ehr Code Set | Practice Fusion

SNOMED vs ICD: Transitioning your EHR code set One of the many new features required for 2014 certified EHRs is the ability to capture and store diagnoses that are mapped SNOMED CT terms. Though making this transition has many benefits for both patients and our healthcare system, it might be challenging for medical professionals to make the switch to this terminology. The healthcare system is also prepping for the switch from ICD-9 to ICD-10 later this year. The number of changes can seem daunting, but documenting diagnoses in SNOMED facilitates the leap to ICD-10 . Practice Fusion aims to streamline the move for you, which will allow you to focus on caring for patients instead of searching for codes. Since SNOMED CT is a clinical terminology, it is inherently more appropriate for clinical documentation of diagnoses in an EHR than other terminologies or classifications, such as ICD-9. SNOMED CT is not necessarily superior to ICD-9 or 10; they were created for different reasons. Using a standard medical terminology to capture and store diagnosis (and other medical terms) in an EHR ensures consistent expression of similar concepts which can be leveraged for decision support, reporting, and analytics, while ensuring consistent communication across the healthcare community all of which leads to better care. Due to its use in medical billing, ICD is largely familiar to healthcare providers and was incorporated into many EHRs as a way to capture diagnoses. The primary limitation with this strategy is the lack of clinical coverage available in ICD-9, which contains approximately 14,000 unique concepts. SNOMED CT, on the other hand, has more than 100,000 unique concepts and many more synonyms and abbreviations. This also far exceeds the 68,000 codes in ICD-10, many of which ar Continue reading >>

2018 Icd-10-cm Diagnosis Code E87.2

2018 Icd-10-cm Diagnosis Code E87.2

E87- Other disorders of fluid, electrolyte and acid-base balance E87.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018 edition of ICD-10-CM E87.2 became effective on October 1, 2017. This is the American ICD-10-CM version of E87.2 - other international versions of ICD-10 E87.2 may differ. A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E87.2. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. Diabetes mellitus due to underlying condition 2016 2017 2018 Non-Billable/Non-Specific Code pancreatitis and other diseases of the pancreas ( K85 - K86 .-) secondary diabetes mellitus NEC ( E13.- ) 2016 2017 2018 Non-Billable/Non-Specific Code diabetes (mellitus) due to autoimmune process diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction diabetes mellitus due to underlying condition ( E08.- ) drug or chemical induced diabetes mellitus ( E09.- ) secondary diabetes mellitus NEC ( E13.- ) 2016 2017 2018 Non-Billable/Non-Specific Code diabetes mellitus due to genetic defects of beta-cell function diabetes mellitus due to genetic defects in insulin action diabetes (mellitus) due to autoimmune process ( E10.- ) diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction ( E10.- ) diabetes mellitus due to underlying condition ( E08.- ) drug or chemical induced diabetes mellitus ( E09.- ) The following code(s) above E87.2 contain annotation back-references In this context, annotation back-references refer to codes that contain: Endocrine, nutritional Continue reading >>

2018 Icd-10-cm Diagnosis Code N25.89

2018 Icd-10-cm Diagnosis Code N25.89

N00-N99 Diseases of the genitourinary system N25-N29 Other disorders of kidney and ureter N25- Disorders resulting from impaired renal tubular function Other disorders resulting from impaired renal tubular function N25.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth disorders resulting from impaired renal tubular function The 2018 edition of ICD-10-CM N25.89 became effective on October 1, 2017. This is the American ICD-10-CM version of N25.89 - other international versions of ICD-10 N25.89 may differ. The following code(s) above N25.89 contain annotation back-references In this context, annotation back-references refer to codes that contain: certain conditions originating in the perinatal period ( P04 - P96 ) certain infectious and parasitic diseases ( A00-B99 ) complications of pregnancy, childbirth and the puerperium ( O00-O9A ) congenital malformations, deformations and chromosomal abnormalities ( Q00-Q99 ) endocrine, nutritional and metabolic diseases ( E00 - E88 ) injury, poisoning and certain other consequences of external causes ( S00-T88 ) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94 ) disorders of kidney and ureter with urolithiasis ( N20-N23 ) Hyperkalemic distal renal tubular acidosis Metabolic acidosis, nag, acidifying salts Metabolic acidosis, normal anion gap (nag) A group of genetic disorders of the kidney tubules characterized by the accumulation of metabolically produced acids with elevated plasma chloride, hyperchloremic metabolic acidosis. Defective renal acidification of urine (proximal tubules) or low renal acid excretion (distal tubules) can lead to complications such as hypokalemia, hypercalcinuria with nephr Continue reading >>

Coding For Sepsis And Sirs

Coding For Sepsis And Sirs

Coding for sepsis and systemic inflammatory response syndrome (SIRS) is a challenge. There has been much clinical discussion about the conditions and their definitions, but a discrepancy remains regarding how physicians apply the definitions to their patients. Coders also have several guidelines they must follow as stated in the ICD-9-CM Official Guidelines for Coding and Reporting. Sepsis, severe sepsis, and SIRS were initially defined by a consensus panel convened by the American College of Chest Physicians and the Society of Critical Care Medicine in 1991 and readdressed in 2001 by these groups along with the American Thoracic Society, the European Society of Intensive Care Medicine, and the Surgical Infection Society. The consensus of definitions from 2001 includes the following: SIRS can be triggered by a variety of infectious and noninfectious conditions. Signs of systemic inflammation may occur in the absence of infection in patients with burns, pancreatitis, and other diseases. Physician participants are hopeful to use only biochemical or immunological data in the future. Currently, however, the physician must use clinical manifestations to diagnosis SIRS. The original definition of SIRS required that the patient have one of the following manifestations: a fever higher than 100.4F or hypothermia (temperature less than 96.8F); leukocytosis (white blood count of greater than 12,000 cells/mm3), leukopenia (white blood count fewer than 4,000 cells/mm3), or left shift (greater than 10% bands); tachycardia (more than 90 heartbeats per minute); or tachypnea (respiratory rate of more than 20 breaths per minute ) or arterial blood gas less than 32 mm Hg. However, this diagnostic criterion was deemed to be overly sensitive and nonspecific. Sepsis is a clinical syndrome d Continue reading >>

Alcoholic Ketoacidosis

Alcoholic Ketoacidosis

Increased production of ketone bodies due to: Dehydration (nausea/vomiting, ADH inhibition) leads to increased stress hormone production leading to ketone formation Depleted glycogen stores in the liver (malnutrition/decrease carbohydrate intake) Elevated ratio of NADH/NAD due to ethanol metabolism Increased free fatty acid production Elevated NADH/NAD ratio leads to the predominate production of β–hydroxybutyrate (BHB) over acetoacetate (AcAc) Dehydration Fever absent unless there is an underlying infection Tachycardia (common) due to: Dehydration with associated orthostatic changes Concurrent alcohol withdrawal Tachypnea: Common Deep, rapid, Kussmaul respirations frequently present Nausea and vomiting Abdominal pain (nausea, vomiting, and abdominal pain are the most common symptoms): Usually diffuse with nonspecific tenderness Epigastric pain common Rebound tenderness, abdominal distension, hypoactive bowel sounds uncommon Mandates a search for an alternative, coexistent illness Decreased urinary output from hypovolemia Mental status: Minimally altered as a result of hypovolemia and possibly intoxication Altered mental status mandates a search for other associated conditions such as: Head injury, cerebrovascular accident (CVA), or intracranial hemorrhage Hypoglycemia Alcohol withdrawal Encephalopathy Toxins Visual disturbances: Reports of isolated visual disturbances with AKA common History Chronic alcohol use: Recent binge Abrupt cessation Physical Exam Findings of dehydration most common May have ketotic odor Kussmaul respirations Palmar erythema (alcoholism) Lab Acid–base disturbance: Increased anion gap metabolic acidosis hallmark Mixed acid–base disturbance common: Respiratory alkalosis Metabolic alkalosis secondary to vomiting and dehydration Hyperchlorem Continue reading >>

2017 Icd 10 Cm Diagnosis Code P740 Late Metabolic Acidosis Of Newborn

2017 Icd 10 Cm Diagnosis Code P740 Late Metabolic Acidosis Of Newborn

Absence of accelerations during labor is of little value in interpreting fetal heart rate patterns. Holocarboxylase synthetase deficiency pre and post newborn screening. Neonatal multiorgan failure due to ACAD9 mutation and complex I deficiency with mitochondrial hyperplasia in liver, cardiac myocytes, skeletal muscle, and renal tubules. Leslie N, Wang X, Peng Y, Valencia CA, Khuchua Z, Hata J, Witte D, Huang T, Bove KE QUESTION 2: Are intravenous fluid boluses beneficial in late preterm or term infants with suspected haemodynamic compromise? The importance of the cerebroplacental ratio in the evaluation of fetal well-being in SGA and AGA fetuses. Pentoxifylline therapy for late-onset sepsis in preterm infants: a randomized controlled trial. Shabaan AE, Nasef N, Shouman B, Nour I, Mesbah A, Abdel-Hady H Serotonin syndrome in a breast-fed neonate. The phenotypic spectrum of organic acidurias and urea cycle disorders. Part 1: the initial presentation. Klker S, Garcia-Cazorla A, Cazorla AG, Valayannopoulos V, Lund AM, Burlina AB, Sykut-Cegielska J, Wijburg FA, Teles EL, Zeman J, Dionisi-Vici C, Bari? I, Karall D, Augoustides-Savvopoulou P, Aksglaede L, Arnoux JB, Avram P, Baumgartner MR, Blasco-Alonso J, Chabrol B, Chakrapani A, Chapman K, I Saladelafont EC, Couce ML, de Meirleir L, Dobbelaere D, Dvorakova V, Furlan F, Gleich F, Gradowska W, Grnewald S, Jalan A, Hberle J, Haege G, Lachmann R, Laemmle A, Langereis E, de Lonlay P, Martinelli D, Matsumoto S, Mhlhausen C, de Baulny HO, Ortez C, Pea-Quintana L, Ramada DP, Rodrigues E, Scholl-Brgi S, Sokal E, Staufner C, Summar ML, Thompson N, Vara R, Pinera IV, Walter JH, Williams M, Burgard P Fructose 1,6-bisphosphatase deficiency: clinical, biochemical and genetic features in French patients. Lebigot E, Brassier A, Zater M, Continue reading >>

Icd-10 Chapter Iv: Endocrine, Nutritional And Metabolic Diseases

Icd-10 Chapter Iv: Endocrine, Nutritional And Metabolic Diseases

International Statistical Classification of Diseases and Related Health Problems 10th Revision Chapter Blocks Title I A00–B99 Certain infectious and parasitic diseases II C00–D48 Neoplasms III D50–D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism IV E00–E90 Endocrine, nutritional and metabolic diseases V F00–F99 Mental and behavioural disorders VI G00–G99 Diseases of the nervous system VII H00–H59 Diseases of the eye and adnexa VIII H60–H95 Diseases of the ear and mastoid process IX I00–I99 Diseases of the circulatory system X J00–J99 Diseases of the respiratory system XI K00–K93 Diseases of the digestive system XII L00–L99 Diseases of the skin and subcutaneous tissue XIII M00–M99 Diseases of the musculoskeletal system and connective tissue XIV N00–N99 Diseases of the genitourinary system XV O00–O99 Pregnancy, childbirth and the puerperium XVI P00–P96 Certain conditions originating in the perinatal period XVII Q00–Q99 Congenital malformations, deformations and chromosomal abnormalities XVIII R00–R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified XIX S00–T98 Injury, poisoning and certain other consequences of external causes XX V01–Y98 External causes of morbidity and mortality XXI Z00–Z99 Factors influencing health status and contact with health services XXII U00–U99 Codes for special purposes The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO).[1] This page contains ICD-10 Chapter IV: End Continue reading >>

Icd 10 Code For Acidosis E87.2

Icd 10 Code For Acidosis E87.2

The word 'Includes' appears immediately under certain categories to further define, or give examples of, the content of thecategory. A type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. A type 2 Excludes note represents 'Not included here'. An Excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together. A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter. Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, 'in diseases classified elsewhere.' Codes with this title area component of the etiology / manifestation convention. The code title indicates that it is a manifestation code. 'In disease Continue reading >>

Medical Billing Code Search

Medical Billing Code Search

Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of labor Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm, unspecified as to time of onset Excludes 1: meconium aspiration (P24.00, P24.01)meconium staining (P96.83) Newborn affected by other specified complications of labor and delivery Includes: Newborn affected by abnormality of maternal soft tissuesNewborn affected by conditions classifiable to O60-O75 and by procedures used in labor and delivery not included in P02.- and P03.0-P03.6Newborn affected by induction of labor Newborn affected by complication of labor and delivery, unspecified Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery Includes: Newborn affected by reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery Newborn affected by other maternal medication Includes: Newborn affected by cancer chemotherapyNewborn affected by cytotoxic drugs Excludes 1: dysmorphism due to warfarin (Q86.2)fetal hydantoin syndrome (Q86.1)maternal use of drugs of addiction (P04.4-) Newborn affected by maternal use of tobacco Includes: Newborn affected by exposure in utero to tobacco smoke Excludes 2: newborn exposure to environmental tobacco smoke (P96.81) Newborn affected by maternal use of alcohol Excludes 1: fetal alcohol syndrome (Q86.0) Newborn affected by maternal use of cocaine Newborn affected by maternal use of other drugs of addiction Excludes 2: newborn affected by maternal anesthesia and analgesia (P04.0)withdrawal symptoms from maternal use of drugs of addiction (P96.1) Newborn affected by maternal use of nutritional ch Continue reading >>

Metabolic Acidosis With Diabetes Mellitus

Metabolic Acidosis With Diabetes Mellitus

Publication Date: 2004-05 Fourth quarter ICD 10 AM Edition: Fourth edition Query Number: 2125 30 year old patient with a PDx on discharge summary of metabolic acidosis. Patient is also an IDDM, with a history of a flu like illness for the past week, and noted to be dehydrated on admission. Patient stated BSL readings had been good. LOS 4 days. Following the Index Diabetes, acidosis, lactic - lactic is an essential modifier and there is no default or entry for metabolic or any of the other types of acidosis apart from ketoacidosis. 1. There is an excludes note under E87.2 Acidosis - Excludes: diabetic acidosis (E10- E14 with common 4th character .1). It would seem as though the classification is telling coders to code all types of acidosis to 'lactic acidosis' when in a diabetic patient. However the Index entry under Diabetes does not give this impression. Please could the committee confirm that the correct code/s would be E10.13 'Type 1 diabetes mellitus with lactic acidosis, without coma' for the diagnosis of metabolic acidosis in a diabetic patient. 2. Respiratory, lactic, and metabolic acidosis, ketoacidosis and acidosis NEC are all indexed to E87.2. Should coders code all the above conditions in a diabetic patient to E1x.1x 'Diabetes with lactic acidosis' (except of course ketoacidosis which has an index entry under diabetes)? Search Details: ACS 0401 Diabetes, NCCH database, Coding Matters, VICC newsletter Response Metabolic acidosis is not the same as ketoacidosis and lactic acidosis. As metabolic acidosis is not linked to Diabetes in the index, follow the index entry: Acidosis (lactic) (respiratory) E87.2 - metabolic NEC E87.2 Assign code E87.2 Acidosis. Continue reading >>

Search Page 1/10: Metabolic Acidosis

Search Page 1/10: Metabolic Acidosis

Arthropathy assoc w metabolic disorder; Arthropathy due to a metabolic disorder; Arthropathy due to metabolic disorder; Arthropathy with metabolic disorder; Bilateral corneal deposits in metabolic disorders; Cardiomyopathy, metabolic; Corneal deposit associated with metabolic disorder; Corneal deposits in metabolic disorders; Corneal deposits in metabolic disorders, both eyes; Enzymopathy; Inborn error of metabolism; Left corneal deposits in metabolic disorders; Metabolic cardiomyopathy; Metabolic disease; Metabolism disorder; Multiple carboxylase deficiency; Right corneal deposits in metabolic disorders 2016 2017 2018 Non-Billable/Non-Specific Code P19.0 Metabolic acidemia in newborn first noted bef... P19.1 Metabolic acidemia in newborn first noted dur... Encounter for screening for other metabolic disorders Screening for endocrine, nutritional, metabolic and immunity disorders done; Screening for endocrine, nutritional, metabolic, and immunity disorders; Screening for metabolic disease; Screening for metabolic disorder done Encounter for screening for other metabolic disorders 2016 2017 2018 Billable/Specific Code POA Exempt Drug resistance to insulin; Dysmetabolic syndrome x; Insulin resistance; Metabolic syndrome x; Dysmetabolic syndrome X; codes for associated manifestations, such as:; obesity (E66.-) Corneal deposits in metabolic disorders, unspecified eye Corneal deposit associated with metabolic disorder; Corneal deposits in metabolic disorders Corneal deposits in metabolic disorders, unspecified eye Corneal deposits in metabolic disorders, right eye Right corneal deposits in metabolic disorders Corneal deposits in metabolic disorders, right eye Corneal deposits in metabolic disorders, left eye Left corneal deposits in metabolic disorders Corneal deposits in m Continue reading >>

Icd-10-cm Coding Guidelines - Pregnancy, Childbirth, And The Puerperium (chapter 15) And Certain Conditions Originating In The Perinatal Period (chapter 16) | Universalclass

Icd-10-cm Coding Guidelines - Pregnancy, Childbirth, And The Puerperium (chapter 15) And Certain Conditions Originating In The Perinatal Period (chapter 16) | Universalclass

ICD-10-CM Coding Guidelines - Pregnancy, Childbirth, and the Puerperium (Chapter 15) and Certain Conditions Originating in the Perinatal Period (Chapter 16) ICD-10-CM Coding Guidelines - Pregnancy, Childbirth, and the Puerperium (Chapter 15) and Certain Conditions Originating in the Perinatal Period (Chapter 16) Pregnancy, Childbirth, and the Puerperium (Chapter 15) Chapter 15 of ICD-10-CM is titled "Pregnancy, Childbirth, and the Puerperium," which includes categories O00-O99. The first trimester of pregnancy is from day 0 through week 13. The second trimester spans from week 14 to week 27. The trimester spans from week 28 until delivery. When coding in this category, there are numerous aspects to be considered, such as high-risk pregnancy, various maternal conditions related to the delivery and puerperium, and abortive outcomes. O00-O08 Pregnancy with Abortive Outcome Codes in this subsection correspond with those in categories 630-639 of ICD-9-CM. Conditions coded include miscarriage, spontaneous abortion, missed abortion, tubal pregnancy, ectopic pregnancy, and other complications and conditions with an abortive outcome. O09 Supervision of High-Risk Pregnancy - Codes in this subsection correspond with those in category V23 of ICD-9-CM. The condition of high-risk pregnancy can occur with a history of infertility, ectopic pregnancy, poor reproductive health, pre-term labor, grand muliparity, young primigravida, and more. O10-O16 Edema, Proteinuria, and Hypertensive Disorders in Pregnancy, Childbirth, and the Puerperium - Codes in this subsection correspond with those in categories 642, and 646 of ICD-9-CM. Conditions coded include hypertension, hypertensive heart disease, and hypertensive chronic kidney disease. O20-O29 Other Maternal Disorders Predominantly Related Continue reading >>

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