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v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.52

Z37.52

Quadruplets, all liveborn

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

Code Description

ICD-10 Z37.52 is a billable code used to indicate a diagnosis of quadruplets, all liveborn.

Key Diagnostic Point:

Z37.52 is used to indicate that a patient has delivered quadruplets, all of whom are liveborn. This code is essential for capturing the complexity of multiple births, which can significantly influence maternal and neonatal health outcomes. The delivery of quadruplets often requires specialized prenatal care, including increased monitoring for complications such as gestational diabetes, preeclampsia, and preterm labor. Social determinants of health, such as socioeconomic status, access to healthcare, and support systems, play a crucial role in the health of both the mother and the infants. Preventive care measures, including regular prenatal visits, nutritional counseling, and mental health support, are vital for ensuring the well-being of the mother and her quadruplets. Screening for potential health issues in both the mother and the newborns is also critical, as multiple births can lead to higher rates of complications. Aftercare for both the mother and the infants involves ongoing assessments and interventions to address any health concerns that may arise post-delivery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires detailed documentation of the delivery and health status of all four infants.
  • Involves understanding of multiple birth complications and their management.
  • May require coordination with multiple healthcare providers for comprehensive care.
  • Social determinants impacting maternal and infant health must be documented.

Audit Risk Factors

  • Inadequate documentation of the health status of all four infants.
  • Failure to capture complications associated with multiple births.
  • Incorrect sequencing of codes related to delivery and aftercare.
  • Lack of evidence for preventive care measures taken during pregnancy.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of prenatal visits, screenings performed, and any complications encountered during pregnancy.

Common Clinical Scenarios

Routine checkups during pregnancy, screenings for gestational diabetes, and aftercare visits for the mother and infants.

Billing Considerations

Consideration of social support systems and access to healthcare services for the mother and her quadruplets.

Public Health

Documentation Requirements

Documentation should focus on population health data, including outcomes for multiple births and access to prenatal care.

Common Clinical Scenarios

Epidemiological studies on multiple births and preventive health initiatives targeting high-risk pregnancies.

Billing Considerations

Tracking health disparities and outcomes related to social determinants of health.

Coding Guidelines

Inclusion Criteria

Use Z37.52 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 52 should be sequenced appropriately, typically following the delivery code
  • Payer requirements may vary, so it is essential to verify specific guidelines for billing and reimbursement

Exclusion Criteria

Do NOT use Z37.52 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking cessation counseling

Clinical Scenario

Used in conjunction with Z37.52 for mothers who smoke and are pregnant with quadruplets.

Documentation Requirements

Document counseling sessions and smoking status.

Specialty Considerations

Primary care providers should address smoking cessation as part of prenatal care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data accuracy and health outcomes tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data accuracy and health outcomes tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data accuracy and health outcomes tracking.

Resources

Clinical References

  • •
    CDC Guidelines on Multiple Births

Coding & Billing References

  • •
    CDC Guidelines on Multiple Births

Frequently Asked Questions

What documentation is required for Z37.52?

Documentation should include details of the delivery, health status of all four infants, and any complications or preventive measures taken during pregnancy.