Maternal care for other rhesus isoimmunization, third trimester (fetus 4)
ICD-10 O36.0934 is a billable code used to indicate a diagnosis of maternal care for other rhesus isoimmunization, third trimester (fetus 4).
Maternal care for rhesus isoimmunization involves monitoring and managing the health of the mother and fetus when the mother has developed antibodies against Rh-positive blood cells. This condition can lead to hemolytic disease of the fetus and newborn (HDFN), which can cause severe anemia, jaundice, and even fetal distress. In the third trimester, careful surveillance is critical, especially for the fourth fetus in a pregnancy, as the risk of complications increases with each subsequent pregnancy. Clinicians must assess fetal growth, monitor for signs of fetal distress, and evaluate the need for interventions such as intrauterine transfusions or early delivery. Regular ultrasounds and non-stress tests are essential to ensure the fetus is thriving and to detect any signs of growth restriction or distress early. The management plan may also include the administration of Rh immunoglobulin to prevent further sensitization in future pregnancies.
Detailed records of maternal health, fetal assessments, and any interventions performed.
Management of a pregnant patient with a history of Rh isoimmunization requiring close monitoring.
Ensure all fetal assessments are documented, including ultrasound findings and non-stress test results.
Comprehensive documentation of high-risk factors, including maternal history and fetal monitoring results.
Consultation for a patient with severe Rh isoimmunization requiring specialized care.
Focus on the management of potential complications and the need for interdisciplinary communication.
Used for monitoring fetal growth and well-being in cases of isoimmunization.
Document indications for ultrasound and findings related to fetal health.
Ensure that the ultrasound is performed by qualified personnel and that results are communicated effectively.
Accurate coding of O36.0934 is crucial for ensuring appropriate management of high-risk pregnancies. It helps in tracking maternal and fetal health, justifying interventions, and ensuring proper reimbursement for the care provided.
