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v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.62

Z37.62

Quadruplets, some liveborn

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

Code Description

ICD-10 Z37.62 is a billable code used to indicate a diagnosis of quadruplets, some liveborn.

Key Diagnostic Point:

Z37.62 is used to indicate a delivery involving quadruplets, where at least one of the infants is liveborn. This code is crucial for capturing the complexity of multiple births, which can significantly influence maternal and neonatal health outcomes. Factors influencing health status include maternal age, socioeconomic status, access to prenatal care, and the presence of any comorbidities. Preventive care is essential in managing high-risk pregnancies, including regular screenings for gestational diabetes, hypertension, and fetal development assessments. Social determinants such as housing stability, education, and healthcare access play a critical role in the health of both the mother and the infants. Aftercare for mothers of multiple births often involves mental health support, nutritional counseling, and follow-up visits to monitor recovery and infant health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Multiple gestation increases the risk of complications.
  • Documentation must specify the number of liveborn and stillborn infants.
  • Requires coordination between obstetric and pediatric care.
  • Potential for additional codes related to complications of pregnancy.

Audit Risk Factors

  • Inadequate documentation of liveborn versus stillborn status.
  • Failure to capture associated complications of multiple births.
  • Misuse of Z codes without appropriate primary diagnosis.
  • Lack of follow-up documentation for aftercare.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include prenatal care visits, screenings for complications, and postnatal follow-ups.

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, support systems, and mental health resources.

Public Health

Documentation Requirements

Population-level data collection, monitoring of health outcomes for mothers and infants, and tracking of health disparities.

Common Clinical Scenarios

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

Billing Considerations

Focus on community resources and support systems for families with multiple births.

Coding Guidelines

Inclusion Criteria

Use Z37.62 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • When coding Z37
  • 62, it should be sequenced appropriately with any primary diagnosis related to the pregnancy or delivery
  • Payer requirements may vary, so it is essential to check specific guidelines for coverage

Exclusion Criteria

Do NOT use Z37.62 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking cessation counseling

Clinical Scenario

Used in conjunction with Z37.62 for mothers who smoke.

Documentation Requirements

Document counseling sessions and patient progress.

Specialty Considerations

Important for primary care providers to address smoking in pregnant women.

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 and compliance with payer requirements.

Resources

Clinical References

  • •
    CDC Guidelines on Multiple Births

Coding & Billing References

  • •
    CDC Guidelines on Multiple Births

Frequently Asked Questions

When should Z37.62 be used?

Z37.62 should be used when documenting a delivery involving quadruplets, with at least one liveborn infant. It is essential to provide detailed documentation of the birth outcomes and any complications.