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v1.0.0
ICD-10 Guide
ICD-10 CodesO26.612

O26.612

Billable

Liver and biliary tract disorders in pregnancy, second trimester

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

Code Description

ICD-10 O26.612 is a billable code used to indicate a diagnosis of liver and biliary tract disorders in pregnancy, second trimester.

Key Diagnostic Point:

Liver and biliary tract disorders during pregnancy can significantly impact maternal and fetal health. In the second trimester, these conditions may include cholestasis of pregnancy, intrahepatic cholestasis, and other liver dysfunctions. Symptoms may manifest as pruritus, jaundice, and abdominal pain. These disorders can lead to complications such as preterm labor, fetal distress, and increased risk of cesarean delivery. Management often requires a multidisciplinary approach, including obstetricians, hepatologists, and maternal-fetal medicine specialists. Close monitoring of liver function tests and fetal well-being is essential. Treatment may involve medication to alleviate symptoms and careful planning for delivery to minimize risks to both mother and child. Understanding the nuances of these conditions is crucial for accurate coding and ensuring appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of liver disorders with overlapping symptoms
  • Need for detailed documentation of maternal and fetal health
  • Potential for multiple co-existing conditions
  • Variability in treatment protocols and outcomes

Audit Risk Factors

  • Inadequate documentation of liver function tests
  • Failure to specify the type of liver disorder
  • Misclassification of symptoms as unrelated to pregnancy
  • Lack of clear treatment plans in medical records

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of liver function tests, symptoms, and treatment plans are essential for accurate coding.

Common Clinical Scenarios

Management of cholestasis of pregnancy, monitoring for jaundice, and planning for delivery in cases of severe liver dysfunction.

Billing Considerations

Consideration of the impact of liver disorders on fetal health and the need for potential early delivery.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal health, fetal monitoring, and any interventions performed.

Common Clinical Scenarios

High-risk pregnancies with liver dysfunction requiring specialized monitoring and intervention.

Billing Considerations

Coordination with hepatology for complex cases and understanding the implications of liver disorders on pregnancy outcomes.

Coding Guidelines

Inclusion Criteria

Use O26.612 When
  • Follow official ICD
  • 10 guidelines for coding liver disorders in pregnancy, ensuring specificity regarding the trimester and type of disorder
  • Documentation must support the diagnosis and any associated complications

Exclusion Criteria

Do NOT use O26.612 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for monitoring liver function in pregnant patients.

Documentation Requirements

Document liver function tests, symptoms, and treatment plans.

Specialty Considerations

Obstetricians should ensure comprehensive documentation to support the visit level.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of liver and biliary tract disorders in pregnancy, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of liver and biliary tract disorders in pregnancy, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common liver disorders that can occur during pregnancy?

Common liver disorders during pregnancy include cholestasis of pregnancy, intrahepatic cholestasis, and gestational liver disease. Each condition requires careful monitoring and management to ensure the health of both mother and fetus.