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v1.0.0
ICD-10 Guide
ICD-10 CodesZ33.3

Z33.3

Pregnant state, gestational carrier

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z33.3 is a billable code used to indicate a diagnosis of pregnant state, gestational carrier.

Key Diagnostic Point:

Z33.3 is used to indicate a pregnant state in a gestational carrier, a woman who carries a pregnancy for another individual or couple. This code is essential in recognizing the unique health status of gestational carriers, who may face distinct medical and psychosocial challenges. Factors influencing their health status include access to prenatal care, mental health support, and social support systems. Preventive care for gestational carriers should include regular prenatal screenings, mental health assessments, and education on pregnancy-related health risks. Social determinants such as socioeconomic status, access to healthcare, and community support can significantly impact their health outcomes. Proper documentation of these factors is crucial for accurate coding and reimbursement, as well as for ensuring that gestational carriers receive appropriate care throughout their pregnancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Documentation of gestational carrier status and related health factors
  • Need for comprehensive prenatal care documentation
  • Potential for co-existing conditions requiring additional coding
  • Variability in payer requirements for gestational carrier services

Audit Risk Factors

  • Inadequate documentation of gestational carrier status
  • Failure to document preventive care and screenings
  • Misuse of Z codes in the absence of a confirmed pregnancy
  • Lack of clarity in the relationship between the carrier and intended parents

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include comprehensive prenatal care records, mental health evaluations, and any referrals made for additional support.

Common Clinical Scenarios

Routine checkups, prenatal screenings, and aftercare visits focusing on the gestational carrier's health and well-being.

Billing Considerations

Consideration of social determinants such as housing stability, financial resources, and access to transportation for prenatal visits.

Public Health

Documentation Requirements

Documentation should include population health data, tracking of gestational carrier health outcomes, and community resource availability.

Common Clinical Scenarios

Epidemiological studies on gestational carriers, preventive health initiatives, and community outreach programs.

Billing Considerations

Focus on health disparities and access to care for gestational carriers within different communities.

Coding Guidelines

Inclusion Criteria

Use Z33.3 When
  • Z codes should be used when the primary reason for the encounter is related to the gestational carrier status
  • They should be sequenced appropriately, often following a primary diagnosis related to pregnancy complications or care
  • Payer requirements may vary, so it's essential to verify coverage for gestational carrier services

Exclusion Criteria

Do NOT use Z33.3 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, level 3

Clinical Scenario

Used for routine prenatal visits for gestational carriers.

Documentation Requirements

Documentation must include history, examination, and medical decision-making.

Specialty Considerations

Primary care providers should ensure comprehensive care plans are in place.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding gestational carrier status, improving the ability to track health outcomes and resource needs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding gestational carrier status, improving the ability to track health outcomes and resource needs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding gestational carrier status, improving the ability to track health outcomes and resource needs.

Resources

Clinical References

  • •
    ACOG Guidelines on Gestational Carriers

Coding & Billing References

  • •
    ACOG Guidelines on Gestational Carriers

Frequently Asked Questions

What documentation is required for coding Z33.3?

Documentation must include confirmation of gestational carrier status, prenatal care records, and any psychosocial assessments conducted during the pregnancy.