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v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.60

Z37.60

Multiple births, unspecified, some liveborn

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

Code Description

ICD-10 Z37.60 is a billable code used to indicate a diagnosis of multiple births, unspecified, some liveborn.

Key Diagnostic Point:

Z37.60 is used to classify multiple births where at least one infant is liveborn, but the specifics of the birth (e.g., number of liveborn versus stillborn) are not detailed. This code is crucial in understanding the health status of both the mother and the infants, as multiple births can lead to increased risks for complications such as preterm labor, low birth weight, and developmental issues. Social determinants of health, such as socioeconomic status, access to prenatal care, and maternal health, significantly influence outcomes in multiple births. Preventive care, including regular prenatal visits and screenings for gestational diabetes and hypertension, is essential to mitigate risks. Aftercare for mothers and infants involves monitoring for potential complications and ensuring access to resources for both physical and mental health support.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of liveborn versus stillborn infants
  • Need for detailed maternal health history
  • Potential for multiple coding scenarios based on infant outcomes
  • Influence of social determinants on health outcomes

Audit Risk Factors

  • Inadequate documentation of liveborn versus stillborn status
  • Failure to capture maternal health conditions that may affect outcomes
  • Misuse of Z37.60 when more specific codes are available
  • Lack of follow-up documentation for aftercare

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include prenatal care visits, maternal health assessments, and any complications during pregnancy.

Common Clinical Scenarios

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

Billing Considerations

Consideration of social determinants such as access to healthcare, education, and support systems for new parents.

Public Health

Documentation Requirements

Population-level data collection, including birth outcomes and maternal health statistics.

Common Clinical Scenarios

Epidemiological studies on multiple births and preventive health initiatives.

Billing Considerations

Tracking health disparities and access to care for mothers of multiple births.

Coding Guidelines

Inclusion Criteria

Use Z37.60 When
  • Z codes should be used when there is no specific diagnosis but the encounter is for a health
  • related issue
  • 60 should be sequenced appropriately, often following codes for maternal conditions or complications
  • Payer requirements may vary, so it's essential to verify coverage for Z code usage

Exclusion Criteria

Do NOT use Z37.60 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with Z37.60 for mothers who smoke and are at risk during multiple pregnancies.

Documentation Requirements

Document counseling sessions and any referrals for cessation programs.

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 outcome 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 outcome tracking.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Multiple Births Data

Coding & Billing References

  • •
    CDC Multiple Births Data

Frequently Asked Questions

When should Z37.60 be used instead of more specific codes?

Z37.60 should be used when the specifics of the multiple births are not documented, particularly when there is a mix of liveborn and stillborn infants. Accurate documentation is essential to determine the appropriate code.