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ICD-10 Guide
ICD-10 CodesO35.14

O35.14

Billable

Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome

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

Code Description

ICD-10 O35.14 is a billable code used to indicate a diagnosis of maternal care for (suspected) chromosomal abnormality in fetus, turner syndrome.

Key Diagnostic Point:

O35.14 is used to indicate maternal care for a suspected chromosomal abnormality in the fetus, specifically Turner Syndrome. Turner Syndrome is a genetic condition that affects females, characterized by the partial or complete absence of one of the two X chromosomes. This condition can lead to various developmental issues, including short stature, delayed puberty, and infertility. During pregnancy, maternal care involves comprehensive prenatal screening and diagnostic testing, such as chorionic villus sampling (CVS) or amniocentesis, to confirm the diagnosis. The management of pregnancies affected by Turner Syndrome requires a multidisciplinary approach, including genetic counseling and close monitoring of fetal development. Maternal care may also involve addressing potential complications, such as congenital heart defects or renal anomalies, which are more prevalent in fetuses with Turner Syndrome. Proper documentation of maternal care, including the results of genetic testing and any referrals to specialists, is crucial for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate identification of chromosomal abnormalities
  • Variability in clinical presentation of Turner Syndrome
  • Requirement for genetic counseling documentation
  • Potential for multiple diagnostic tests and their results

Audit Risk Factors

  • Inadequate documentation of genetic counseling
  • Failure to document results of prenatal testing
  • Misclassification of Turner Syndrome severity
  • Lack of coordination notes among specialists

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include prenatal screening results, genetic counseling notes, and any referrals made for further evaluation.

Common Clinical Scenarios

Common scenarios include routine prenatal visits where chromosomal abnormalities are discussed, and referrals for genetic testing.

Billing Considerations

Coders must ensure that all relevant tests and consultations are documented to support the use of O35.14.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of high-risk factors, ultrasound findings, and any interventions performed during pregnancy.

Common Clinical Scenarios

Complex maternal-fetal scenarios may involve monitoring for associated anomalies and coordinating care with pediatric specialists.

Billing Considerations

High-risk coding requires thorough documentation of all assessments and interventions related to the suspected chromosomal abnormality.

Coding Guidelines

Inclusion Criteria

Use O35.14 When
  • Coders should follow official ICD
  • 10 guidelines, ensuring that the code is used only when there is a documented suspicion of a chromosomal abnormality and that all relevant prenatal care is recorded

Exclusion Criteria

Do NOT use O35.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76817CPT Code

Ultrasound, fetal, transabdominal, real-time with image documentation

Clinical Scenario

Used during routine prenatal visits to monitor fetal development and assess for abnormalities.

Documentation Requirements

Documentation must include the indication for the ultrasound and findings related to Turner Syndrome.

Specialty Considerations

Obstetricians should ensure that ultrasound findings are clearly linked to the suspected chromosomal abnormality.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like Turner Syndrome, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation in maternal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like Turner Syndrome, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation in maternal care.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of detailed documentation in maternal care.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What documentation is required to support the use of O35.14?

To support the use of O35.14, documentation must include evidence of genetic counseling, results from any prenatal testing, and a clear plan for monitoring and managing the pregnancy. All relevant clinical findings should be documented to justify the diagnosis.