ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.6

Z37.6

Other multiple births, some liveborn

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

Code Description

ICD-10 Z37.6 is a billable code used to indicate a diagnosis of other multiple births, some liveborn.

Key Diagnostic Point:

Z37.6 is used to classify cases of multiple births where at least one of the infants is liveborn, but not all. This code is crucial for understanding the health status of both the mother and the infants, as multiple births can lead to various complications, including preterm labor, low birth weight, and increased risk of developmental issues. Social determinants such as socioeconomic status, access to prenatal care, and maternal health can significantly influence outcomes in these cases. Preventive care, including regular prenatal visits and screenings for gestational diabetes and hypertension, is essential to mitigate risks. Aftercare for both the mother and the surviving infants is critical, involving follow-up appointments and developmental screenings to ensure optimal health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of liveborn vs. stillborn status
  • Need for precise coding based on the number of liveborn infants
  • Potential for confusion with other Z codes related to multiple births
  • Influence of social determinants on health outcomes

Audit Risk Factors

  • Inadequate documentation of the number of liveborn infants
  • Misclassification of stillborn vs. liveborn status
  • Failure to document social determinants impacting health outcomes
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include prenatal care visits, screenings performed, and any complications noted 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 determinants such as access to healthcare, education level, and economic stability.

Public Health

Documentation Requirements

Population-level data collection, including maternal health statistics and outcomes of multiple births.

Common Clinical Scenarios

Epidemiological studies on multiple births and preventive health initiatives targeting at-risk populations.

Billing Considerations

Focus on tracking health disparities and outcomes related to social determinants.

Coding Guidelines

Inclusion Criteria

Use Z37.6 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • When coding Z37
  • 6, ensure it is sequenced correctly, typically following the primary diagnosis related to the delivery or complications
  • Payer requirements may vary, so check specific guidelines for coverage

Exclusion Criteria

Do NOT use Z37.6 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking cessation counseling

Clinical Scenario

Used in conjunction with Z37.6 when counseling mothers on smoking cessation during pregnancy.

Documentation Requirements

Document the counseling session and any follow-up plans.

Specialty Considerations

Important in primary care settings to address maternal health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has increased specificity in coding, allowing for better tracking of multiple births and their outcomes, which is essential for quality improvement initiatives in maternal and infant health.

ICD-9 vs ICD-10

The transition to ICD-10 has increased specificity in coding, allowing for better tracking of multiple births and their outcomes, which is essential for quality improvement initiatives in maternal and infant health.

Reimbursement & Billing Impact

The transition to ICD-10 has increased specificity in coding, allowing for better tracking of multiple births and their outcomes, which is essential for quality improvement initiatives in maternal and infant health.

Resources

Clinical References

  • •
    CDC Guidelines on Multiple Births

Coding & Billing References

  • •
    CDC Guidelines on Multiple Births

Frequently Asked Questions

When should Z37.6 be used instead of more specific Z codes?

Z37.6 should be used when there are multiple births with at least one liveborn infant, and the specific number of liveborn and stillborn infants is not documented. If the documentation specifies the number of liveborn or stillborn infants, use the more specific Z codes.