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ICD-10 Guide
ICD-10 CodesO09.52

O09.52

Billable

Supervision of elderly multigravida

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O09.52 is a billable code used to indicate a diagnosis of supervision of elderly multigravida.

Key Diagnostic Point:

O09.52 refers to the supervision of elderly multigravida patients, typically defined as women who are pregnant and have had two or more pregnancies, and are of advanced maternal age (usually 35 years or older). This code is used in the context of managing pregnancies that may have increased risks due to the mother's age, including higher chances of chromosomal abnormalities, gestational diabetes, hypertension, and other complications. The supervision involves careful monitoring of the pregnancy, including regular prenatal visits, screening for potential complications, and counseling regarding lifestyle modifications. Early pregnancy complications such as miscarriage or ectopic pregnancy may also be more prevalent in this demographic, necessitating a thorough understanding of reproductive health and the implications of advanced maternal age on pregnancy outcomes. The healthcare provider must document the patient's obstetric history, current health status, and any complications that arise during the pregnancy to ensure appropriate coding and care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for comprehensive documentation of obstetric history and current health status.
  • Increased risk factors associated with advanced maternal age.
  • Potential for multiple comorbidities that may complicate pregnancy.
  • Variability in clinical guidelines for elderly multigravida supervision.

Audit Risk Factors

  • Inadequate documentation of the patient's obstetric history.
  • Failure to document complications or risk factors.
  • Misclassification of the patient's age or gravidity.
  • Lack of follow-up documentation for high-risk conditions.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of prenatal visits, including assessments of maternal and fetal health, lab results, and any complications.

Common Clinical Scenarios

Management of pregnancies with gestational diabetes, hypertension, or previous pregnancy losses.

Billing Considerations

Consideration of genetic counseling and screening for chromosomal abnormalities.

Maternal-Fetal Medicine

Documentation Requirements

Extensive documentation of high-risk factors, including maternal age, medical history, and any interventions.

Common Clinical Scenarios

Monitoring of pregnancies with multiple gestations or significant maternal health issues.

Billing Considerations

Focus on advanced imaging and diagnostic testing to assess fetal health.

Coding Guidelines

Inclusion Criteria

Use O09.52 When
  • According to ICD
  • 10 coding guidelines, O09
  • 52 should be used when documenting the supervision of elderly multigravida patients
  • Coders must ensure that all relevant clinical information is captured, including the patient's age, gravidity, and any complications that arise during the pregnancy

Exclusion Criteria

Do NOT use O09.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum care, delivery, and postpartum care.

Clinical Scenario

Used for comprehensive care of elderly multigravida patients.

Documentation Requirements

Complete records of all prenatal visits and any complications.

Specialty Considerations

Obstetricians should ensure that all high-risk factors are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including the supervision of elderly multigravida patients. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including the supervision of elderly multigravida patients. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including the supervision of elderly multigravida patients. This specificity aids in better tracking of outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding O09.52?

Coding O09.52 is crucial for identifying and managing pregnancies in elderly multigravida patients, ensuring that they receive appropriate supervision and care tailored to their increased risk factors.