Supervision of high risk pregnancy
ICD-10 Codes (0)
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Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (1)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for O09-O09 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 category O09-O09 pertains to the supervision of high-risk pregnancies. This range is used to categorize pregnancies that pose a higher risk to the health of the mother or fetus due to various factors such as age, medical history, complications in previous pregnancies, or current health conditions. These codes are crucial in ensuring appropriate care and monitoring for high-risk pregnancies.
Key Usage Points:
- •Always code the primary reason for the encounter first.
- •Use additional codes to identify any associated conditions or complications.
- •Specify the trimester if the condition is pregnancy related.
- •Use a code from category Z3A to indicate weeks of gestation.
- •Remember to code any postpartum complications within the 6-week period.
Coding Guidelines
When to Use:
- ✓When a patient has a pre-existing medical condition that complicates the pregnancy.
- ✓When the patient is of advanced maternal age.
- ✓When the patient has had complications in previous pregnancies.
- ✓When the patient has a multiple gestation pregnancy.
- ✓When the patient has a history of spontaneous abortion.
When NOT to Use:
- ✗When the patient has a normal, uncomplicated pregnancy.
- ✗When the patient's condition is unrelated to the pregnancy.
- ✗When the patient is not currently pregnant.
- ✗When the patient's condition occurred outside the postpartum period.
Code Exclusions
Always verify exclusions by cross-referencing the patient's condition with the ICD-10 manual.
Documentation Requirements
Accurate documentation is crucial for coding high-risk pregnancies. It should include detailed medical history, current conditions and complications, gestational age, and any other relevant information.
Clinical Information:
- •Detailed medical history
- •Current conditions and complications
- •Gestational age
- •Results of any relevant tests or procedures
Supporting Evidence:
- •Lab results
- •Ultrasound reports
- •Notes from previous prenatal visits
- •Referral letters
Good Documentation Example:
Patient is a 35-year-old female, G2P1, at 28 weeks gestation with a history of preterm delivery. Blood pressure is elevated at 140/90 mmHg. Lab results show proteinuria.
Poor Documentation Example:
Patient is pregnant with high blood pressure.
Common Documentation Errors:
- ⚠Not specifying the trimester
- ⚠Omitting relevant medical history
- ⚠Not providing enough detail about the patient's condition
- ⚠Failing to code associated conditions or complications
Range Statistics
Coding Complexity
Coding high-risk pregnancies can be complex due to the need to accurately code all associated conditions and complications, determine the appropriate trimester, and navigate the numerous subcategories within this range. Additionally, coders must stay up-to-date with changes and updates to the coding guidelines.
Key Factors:
- ▸Identifying and coding all associated conditions and complications
- ▸Determining the appropriate trimester
- ▸Navigating the numerous subcategories within this range
- ▸Keeping up with changes and updates to the coding guidelines
Specialty Focus
These codes are primarily used by obstetricians and maternal-fetal medicine specialists. They are also relevant for family practitioners, internists, and other providers who care for pregnant patients.
Primary Specialties:
Clinical Scenarios:
- • A 40-year-old woman at 30 weeks gestation with gestational diabetes.
- • A 25-year-old woman at 20 weeks gestation with a twin pregnancy.
- • A 32-year-old woman at 28 weeks gestation with a history of preterm labor.
- • A 35-year-old woman at 24 weeks gestation with preeclampsia.
- • A 29-year-old woman at 34 weeks gestation with a history of recurrent miscarriages.
Resources & References
Several resources are available to assist with coding high-risk pregnancies, including the official ICD-10 manual, clinical reference books, and educational materials from professional coding organizations.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Hospital Association's Coding Clinic
- National Center for Health Statistics' ICD-10 website
Clinical References:
- American College of Obstetricians and Gynecologists' Practice Bulletins
- Society for Maternal-Fetal Medicine's Clinical Guidelines
Educational Materials:
- American Academy of Professional Coders' ICD-10 training materials
- American Health Information Management Association's coding resources
Frequently Asked Questions
How do I code a high-risk pregnancy with multiple complications?
Code the primary reason for the encounter first, then use additional codes to identify all associated conditions and complications. Remember to specify the trimester.