Liver and biliary tract disorders in childbirth
ICD-10 O26.62 is a billable code used to indicate a diagnosis of liver and biliary tract disorders in childbirth.
Liver and biliary tract disorders during childbirth can significantly complicate maternal care and may include conditions such as intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy, and other hepatic dysfunctions. These disorders can lead to severe maternal and fetal complications, including preterm labor, fetal distress, and increased risk of cesarean delivery. The management of these conditions requires careful monitoring of liver function tests, maternal symptoms, and fetal well-being. Treatment may involve medication to alleviate symptoms, close observation, and in some cases, early delivery to prevent further complications. Accurate coding of these conditions is essential for appropriate reimbursement and to ensure that the complexity of care provided is reflected in the medical record. Coders must be familiar with the clinical manifestations of liver disorders and their implications for both maternal and fetal health during the perinatal period.
Detailed documentation of liver function tests, maternal symptoms, and treatment plans is essential. Coders should ensure that all relevant clinical notes are included.
Common scenarios include a pregnant patient presenting with jaundice, pruritus, or elevated liver enzymes, necessitating further evaluation and management.
Coders must be aware of the potential for rapid deterioration in liver function and the need for timely intervention, which may affect coding decisions.
High-risk pregnancy documentation must include comprehensive assessments of both maternal and fetal health, including ultrasound findings and fetal monitoring results.
Complex maternal-fetal scenarios may involve managing a patient with acute fatty liver of pregnancy requiring close monitoring and potential early delivery.
Considerations for high-risk obstetric coding include the need for interdisciplinary communication and documentation of all care team interactions.
Used when a pregnant patient presents for evaluation of liver dysfunction.
Documentation must include history, examination findings, and treatment plan.
Obstetricians should ensure that all relevant liver function tests are documented.
Common symptoms include jaundice, severe itching, abdominal pain, and nausea. These symptoms may indicate conditions such as intrahepatic cholestasis or acute fatty liver of pregnancy, requiring prompt evaluation and management.
