Maternal care related to the fetus and amniotic cavity and possible delivery problems
ICD-10 Codes (200)
O31O31.0O31.00O31.01O31.02O31.03O31.1O31.10O31.11O31.12O31.13O31.2O31.20O31.21O31.22O31.23O31.3O31.30O31.31O31.32O31.33O31.8O32O32.0O32.1O32.2O32.3O32.4O32.6O32.8O32.9O33O33.0O33.1O33.2O33.3O33.4O33.5O33.6O33.7O33.8O33.9O34O34.0O34.00O34.01O34.02O34.03O34.1O34.10O34.11O34.12O34.13O34.2O34.21O34.211O34.212O34.218O34.219O34.22O34.29O34.3O34.30O34.31O34.32O34.33O34.4O34.40O34.41O34.42O34.43O34.5O34.51O34.511O34.512O34.513O34.519O34.52O34.521O34.522O34.523O34.529O34.53O34.531O34.532O34.533O34.539O34.59O34.591O34.592O34.593O34.599O34.6O34.60O34.61O34.62O34.63O34.7O34.70O34.71O34.72O34.73O34.8O34.80O34.81O34.82O34.83O34.9O34.90O34.91O34.92O34.93O35O35.0O35.00O35.01O35.02O35.03O35.04O35.05O35.06O35.07O35.08O35.09O35.1O35.10O35.11O35.12O35.13O35.14O35.15O35.19O35.2O35.3O35.4O35.5O35.6O35.7O35.8O35.9O36O36.0O36.01O36.011O36.0110O36.0111O36.0112O36.0113O36.0114O36.0115O36.0119O36.012O36.0120O36.0121O36.0122O36.0123O36.0124O36.0125O36.0129O36.013O36.0130O36.0131O36.0132O36.0133O36.0134O36.0135O36.0139O36.019O36.0190O36.0191O36.0192O36.0193O36.0194O36.0195O36.0199O36.09O36.091O36.0910O36.0911O36.0912O36.0913O36.0914O36.0915O36.0919O36.092O36.0920O36.0921O36.0922O36.0923O36.0924O36.0925O36.0929O36.093O36.0930O36.0931O36.0932O36.0933O36.0934O36.0935O36.0939Updates & 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 O30-O48 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 code range O30-O48 pertains to maternal care related to the fetus and amniotic cavity and potential delivery problems. These codes are used to document conditions and complications that may arise during pregnancy, affecting either the mother or the fetus. They cover a wide array of issues, including multiple gestation, maternal care for abnormalities of the fetus, and complications of the amniotic cavity.
Key Usage Points:
- •Use these codes to document conditions and complications that arise during pregnancy.
- •These codes cover multiple gestation, maternal care for fetal abnormalities, and complications of the amniotic cavity.
- •Always code to the highest level of specificity.
- •Use additional codes from other chapters to identify any associated maternal conditions.
- •Follow the ICD-10 guidelines for coding pregnancy, childbirth, and the puerperium.
Coding Guidelines
When to Use:
- ✓When documenting multiple gestation pregnancies.
- ✓When documenting maternal care for known or suspected fetal abnormalities.
- ✓When documenting complications related to the amniotic cavity.
- ✓When documenting potential delivery problems due to maternal pelvic and perineal conditions.
- ✓When documenting potential delivery problems due to fetal conditions.
When NOT to Use:
- ✗When the pregnancy is uncomplicated.
- ✗When the condition does not affect the current pregnancy, childbirth, or the puerperium.
- ✗When the condition is related to the mother but does not affect the fetus or amniotic cavity.
- ✗When the condition is a routine prenatal visit.
Code Exclusions
Always verify exclusions with the latest ICD-10-CM Official Guidelines for Coding and Reporting.
Documentation Requirements
Accurate documentation is crucial for coding within this range. It should include detailed information about the pregnancy, any complications or conditions affecting the mother or fetus, and the impact of these conditions on the pregnancy or potential delivery.
Clinical Information:
- •Detailed description of the pregnancy (e.g., gestational age, number of fetuses).
- •Detailed description of any complications or conditions.
- •Impact of the condition on the pregnancy or potential delivery.
- •Any treatment provided or planned.
Supporting Evidence:
- •Medical history.
- •Clinical findings.
- •Diagnostic test results.
- •Treatment plans.
Good Documentation Example:
Patient is 28 weeks pregnant with twins. Ultrasound shows Twin B is breech. Plan for cesarean section.
Poor Documentation Example:
Twin pregnancy.
Common Documentation Errors:
- âš Not coding to the highest level of specificity.
- âš Not documenting the impact of the condition on the pregnancy or potential delivery.
- âš Not using additional codes to identify any associated maternal conditions.
Range Statistics
Coding Complexity
Coding within this range requires a good understanding of obstetric medical terminology and the ability to interpret detailed clinical documentation. Coders must also be familiar with the ICD-10 coding guidelines for pregnancy, childbirth, and the puerperium, and be able to code to the highest level of specificity. The need to use additional codes to fully capture the patient's clinical picture adds to the complexity.
Key Factors:
- â–¸Understanding of obstetric medical terminology.
- â–¸Ability to interpret detailed clinical documentation.
- â–¸Knowledge of ICD-10 coding guidelines for pregnancy, childbirth, and the puerperium.
- â–¸Ability to code to the highest level of specificity.
- â–¸Understanding of when to use additional codes.
Specialty Focus
These codes are primarily used by obstetricians and maternal-fetal medicine specialists. They may also be used by family practitioners and midwives who provide prenatal care.
Primary Specialties:
Clinical Scenarios:
- • Multiple gestation pregnancy with one or more fetuses in breech presentation.
- • Pregnancy with known fetal abnormality requiring special monitoring.
- • Pregnancy complicated by polyhydramnios.
- • Pregnancy with potential delivery problems due to maternal pelvic deformity.
- • Pregnancy with potential delivery problems due to fetal macrosomia.
Resources & References
Resources for these codes include the ICD-10-CM Official Guidelines for Coding and Reporting, medical dictionaries, and clinical textbooks. Educational materials can be found through professional coding organizations and continuing education providers.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- World Health Organization's ICD-10 Browser
- National Center for Health Statistics ICD-10-CM
Clinical References:
- Obstetrics: Normal and Problem Pregnancies
- Williams Obstetrics
Educational Materials:
- American Academy of Professional Coders (AAPC)
- American Health Information Management Association (AHIMA)
Frequently Asked Questions
Can I use these codes for routine prenatal visits?
No, these codes are for conditions and complications that arise during pregnancy. For routine prenatal visits, use codes from the Z3A series.