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v1.0.0
ICD-10 Guide
ICD-10 CodesO25.2

O25.2

Billable

Malnutrition in childbirth

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

Code Description

ICD-10 O25.2 is a billable code used to indicate a diagnosis of malnutrition in childbirth.

Key Diagnostic Point:

Malnutrition in childbirth refers to a condition where a pregnant woman experiences inadequate nutrition, which can adversely affect both maternal and fetal health. This condition can arise from various factors, including poor dietary intake, eating disorders such as anorexia or bulimia, socioeconomic factors, and underlying medical conditions that affect nutrient absorption. Malnutrition during pregnancy can lead to complications such as low birth weight, preterm birth, and developmental issues in the child. Nutritional counseling is crucial for pregnant women at risk of malnutrition, as it helps to ensure adequate intake of essential nutrients, including proteins, vitamins, and minerals. Healthcare providers must assess dietary habits, provide education on healthy eating, and monitor weight gain throughout pregnancy to mitigate risks associated with malnutrition. Proper documentation of nutritional status, dietary interventions, and any related complications is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes for malnutrition that require thorough documentation.
  • Need for detailed dietary assessments and nutritional counseling records.
  • Potential overlap with other codes related to eating disorders and nutritional deficiencies.
  • Variability in clinical presentation and management strategies among patients.

Audit Risk Factors

  • Inadequate documentation of nutritional assessments.
  • Failure to link malnutrition to specific pregnancy complications.
  • Lack of evidence for nutritional counseling provided.
  • Misclassification of malnutrition severity.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include detailed dietary history, nutritional assessments, and any interventions provided.

Common Clinical Scenarios

Pregnant women presenting with weight loss, poor appetite, or diagnosed eating disorders.

Billing Considerations

Consideration of cultural dietary practices and socioeconomic factors affecting nutrition.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include comprehensive nutritional evaluations and monitoring.

Common Clinical Scenarios

Complex cases involving multiple risk factors for malnutrition, such as chronic illness or substance abuse.

Billing Considerations

In-depth assessments of fetal growth and development in relation to maternal nutritional status.

Coding Guidelines

Inclusion Criteria

Use O25.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that all relevant clinical documentation supports the diagnosis of malnutrition in childbirth
  • Include any associated complications or conditions that may impact nutritional status

Exclusion Criteria

Do NOT use O25.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used when a pregnant patient requires nutritional counseling due to malnutrition.

Documentation Requirements

Document the patient's nutritional status, goals of therapy, and follow-up plans.

Specialty Considerations

Ensure that the counseling is tailored to the specific needs of pregnant women.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malnutrition conditions, improving the ability to capture the nuances of maternal and fetal health issues related to nutrition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malnutrition conditions, improving the ability to capture the nuances of maternal and fetal health issues related to nutrition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malnutrition conditions, improving the ability to capture the nuances of maternal and fetal health issues related to nutrition.

Resources

Clinical References

  • •
    Nutrition in Pregnancy: A Guide for Healthcare Providers

Coding & Billing References

  • •
    Nutrition in Pregnancy: A Guide for Healthcare Providers

Frequently Asked Questions

What are the common causes of malnutrition in pregnancy?

Common causes include inadequate dietary intake, socioeconomic factors, medical conditions affecting absorption, and eating disorders. It's essential to assess each patient's unique situation to provide appropriate interventions.