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v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.69

Z37.69

Other multiple births, some liveborn

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

Code Description

ICD-10 Z37.69 is a billable code used to indicate a diagnosis of other multiple births, some liveborn.

Key Diagnostic Point:

Z37.69 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 surviving infants, as multiple births can lead to various complications, including preterm labor, low birth weight, and increased risk of developmental issues. Social determinants of health, such as access to prenatal care, socioeconomic status, and maternal health, significantly influence outcomes in multiple births. Preventive care, including regular prenatal visits, nutritional counseling, and screening for gestational diabetes, is essential to mitigate risks. Aftercare for mothers and infants involves monitoring for complications and ensuring access to necessary health services, which can be affected by social factors such as transportation and healthcare availability.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of liveborn versus stillborn status
  • Need for detailed prenatal care records
  • Potential for multiple coding scenarios based on infant outcomes
  • Influence of social determinants on health outcomes

Audit Risk Factors

  • Inadequate documentation of liveborn status
  • Failure to capture all infants in the coding
  • Misclassification of stillborn versus liveborn infants
  • Lack of follow-up documentation for aftercare

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Comprehensive prenatal care records, including visits, screenings, and maternal health assessments.

Common Clinical Scenarios

Routine checkups during pregnancy, screenings for gestational diabetes, and postpartum follow-ups.

Billing Considerations

Consideration of social determinants such as access to care, transportation issues, and socioeconomic factors affecting maternal health.

Public Health

Documentation Requirements

Data collection for epidemiological studies, maternal and infant health tracking, and community health assessments.

Common Clinical Scenarios

Monitoring health outcomes in populations with multiple births, preventive health initiatives targeting high-risk groups.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use Z37.69 When
  • Z codes should be used to indicate factors influencing health status and contact with health services
  • When coding Z37
  • 69, it is essential to sequence it appropriately, typically following the primary diagnosis related to the delivery or complications
  • Payer requirements may vary, so it is crucial to verify specific guidelines for billing

Exclusion Criteria

Do NOT use Z37.69 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking cessation counseling

Clinical Scenario

Used in conjunction with Z37.69 for mothers who smoke and are pregnant with multiples.

Documentation Requirements

Document counseling sessions and any referrals made.

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 increased specificity in coding multiple births, allowing for better tracking of health outcomes and resource allocation for mothers and infants.

ICD-9 vs ICD-10

The transition to ICD-10 has increased specificity in coding multiple births, allowing for better tracking of health outcomes and resource allocation for mothers and infants.

Reimbursement & Billing Impact

The transition to ICD-10 has increased specificity in coding multiple births, allowing for better tracking of health outcomes and resource allocation for mothers and infants.

Resources

Clinical References

  • •
    CDC Guidelines on Multiple Births

Coding & Billing References

  • •
    CDC Guidelines on Multiple Births

Frequently Asked Questions

What documentation is required for coding Z37.69?

Documentation must include the number of infants born, their liveborn or stillborn status, and any relevant maternal health conditions. This ensures accurate coding and appropriate follow-up care.