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ICD-10 Guide
ICD-10 CodesO26.63

O26.63

Billable

Liver and biliary tract disorders in the puerperium

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

Code Description

ICD-10 O26.63 is a billable code used to indicate a diagnosis of liver and biliary tract disorders in the puerperium.

Key Diagnostic Point:

Liver and biliary tract disorders during the puerperium can manifest as a range of complications that may arise after childbirth. These disorders can include conditions such as cholestasis, hepatitis, and other liver dysfunctions that may affect maternal health. The puerperium is a critical period where the body undergoes significant physiological changes as it returns to a non-pregnant state. Liver disorders during this time can lead to complications such as jaundice, coagulopathy, and increased risk of hemorrhage. It is essential for healthcare providers to monitor liver function tests and assess for any signs of liver dysfunction in postpartum patients, especially those with pre-existing liver conditions or those who experienced complications during pregnancy. Proper management and timely intervention are crucial to ensure maternal safety and prevent further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic liver conditions
  • Understanding the interplay between liver disorders and other obstetric complications
  • Need for comprehensive documentation of maternal history and current symptoms
  • Potential for overlapping symptoms with other postpartum conditions

Audit Risk Factors

  • Inadequate documentation of liver function tests
  • Failure to specify the type of liver disorder
  • Misclassification of liver disorders as unrelated to pregnancy
  • Lack of follow-up documentation post-discharge

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed maternal history, including any pre-existing liver conditions, current symptoms, and laboratory results.

Common Clinical Scenarios

Postpartum patient presenting with jaundice or elevated liver enzymes.

Billing Considerations

Ensure that all relevant clinical findings are documented to support the diagnosis and coding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including any history of liver disease during pregnancy.

Common Clinical Scenarios

Management of a high-risk postpartum patient with a history of cholestasis during pregnancy.

Billing Considerations

Consider the implications of liver disorders on maternal-fetal health and the need for multidisciplinary care.

Coding Guidelines

Inclusion Criteria

Use O26.63 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Specific criteria for liver disorders in the puerperium must be met, including the timing of symptoms relative to childbirth

Exclusion Criteria

Do NOT use O26.63 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

80076CPT Code

Liver function tests

Clinical Scenario

Used to assess liver function in postpartum patients presenting with symptoms.

Documentation Requirements

Document the rationale for testing and results.

Specialty Considerations

Ensure that results are interpreted in the context of obstetric care.

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, 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, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common symptoms of liver disorders in the puerperium?

Common symptoms include jaundice, abdominal pain, fatigue, and elevated liver enzymes. It is crucial to monitor these symptoms closely in postpartum patients.