Twins, both stillborn
ICD-10 Z37.4 is a billable code used to indicate a diagnosis of twins, both stillborn.
Z37.4 is used to classify cases where both twins are stillborn, which can have profound implications for the parents' mental and emotional health. The loss of multiple pregnancies can be influenced by various social determinants of health, including access to prenatal care, socioeconomic status, and mental health support. Preventive care in this context involves ensuring that expectant mothers receive adequate prenatal screenings and counseling to identify risks associated with multiple gestations. Aftercare is crucial for the parents, as they may require psychological support and follow-up care to address grief and loss. Documentation should reflect the circumstances surrounding the stillbirth, including any contributing factors and the care provided to the parents post-loss.
Documentation should include prenatal care details, screenings performed, and any referrals made for mental health support.
Routine prenatal visits, counseling sessions, and follow-up appointments post-stillbirth.
Consideration of the patient's mental health and access to support services.
Data collection for epidemiological studies, including maternal health statistics and stillbirth rates.
Community health assessments and preventive health initiatives targeting at-risk populations.
Focus on improving access to prenatal care and addressing health disparities.
Used in conjunction with Z37.4 if the mother is a smoker, addressing health risks.
Document counseling sessions and any referrals for smoking cessation.
Primary care providers should assess smoking status during prenatal visits.
Documentation should include details of the stillbirth, any contributing factors, and the care provided to the parents, including mental health support.
