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v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.7

Z37.7

Other multiple births, all stillborn

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

Code Description

ICD-10 Z37.7 is a billable code used to indicate a diagnosis of other multiple births, all stillborn.

Key Diagnostic Point:

Z37.7 is used to classify cases of multiple births where all infants are stillborn. This code is significant in understanding the clinical context surrounding stillbirths, which can be influenced by various factors such as maternal health, socioeconomic status, access to prenatal care, and environmental conditions. Social determinants of health play a crucial role in the outcomes of pregnancies, including stillbirths. Preventive care measures, such as regular prenatal visits, screenings for gestational diabetes, and monitoring maternal health conditions, are essential in reducing risks associated with multiple births. Aftercare for families experiencing stillbirth is also critical, as it involves emotional support and counseling to address grief and loss. Accurate coding of Z37.7 requires thorough documentation of the circumstances surrounding the stillbirths, including any contributing factors and the care provided to the family.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of maternal health and pregnancy complications.
  • Variability in clinical scenarios leading to stillbirths.
  • Potential for co-existing conditions that may complicate coding.
  • Importance of capturing social determinants affecting pregnancy outcomes.

Audit Risk Factors

  • Inadequate documentation of maternal health history.
  • Failure to report contributing factors leading to stillbirth.
  • Incorrect sequencing of codes related to stillbirth.
  • Lack of clarity on the number of stillborn infants.

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 prenatal checkups, screenings for high-risk conditions, and aftercare following stillbirth.

Billing Considerations

Consideration of social determinants such as access to healthcare, socioeconomic status, and mental health support.

Public Health

Documentation Requirements

Documentation should focus on population health data, surveillance of stillbirth rates, and preventive strategies.

Common Clinical Scenarios

Epidemiological studies on stillbirths, community health initiatives, and preventive care outreach.

Billing Considerations

Tracking health disparities and implementing programs to improve maternal and infant health outcomes.

Coding Guidelines

Inclusion Criteria

Use Z37.7 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 7 should be used when all infants in a multiple birth are stillborn
  • It is important to sequence this code appropriately, often following codes that describe the circumstances of the stillbirth
  • Payer requirements may vary, so coders should be familiar with specific guidelines from insurers regarding the use of Z codes

Exclusion Criteria

Do NOT use Z37.7 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking cessation counseling

Clinical Scenario

Used in conjunction with Z37.7 for mothers who smoke and experience stillbirth.

Documentation Requirements

Documentation of 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 stillbirths, enabling better tracking of maternal and infant health outcomes. Z37.7 provides a clear classification for cases of multiple births where all infants are stillborn, improving data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding stillbirths, enabling better tracking of maternal and infant health outcomes. Z37.7 provides a clear classification for cases of multiple births where all infants are stillborn, improving data collection and analysis.

Reimbursement & Billing Impact

reimbursement and to support the medical necessity of services rendered.

Resources

Clinical References

  • •
    CDC Stillbirth Prevention

Coding & Billing References

  • •
    CDC Stillbirth Prevention

Frequently Asked Questions

What documentation is required for coding Z37.7?

Documentation must include the number of stillborn infants, maternal health history, prenatal care details, and any contributing factors. It is also important to document aftercare services provided to the family.