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ICD-10 Guide
ICD-10 CodesO25.10

O25.10

Billable

Malnutrition in pregnancy, unspecified trimester

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O25.10 is a billable code used to indicate a diagnosis of malnutrition in pregnancy, unspecified trimester.

Key Diagnostic Point:

Malnutrition in pregnancy refers to a condition where a pregnant individual does not receive adequate nutrition, which can adversely affect both maternal and fetal health. This condition can arise from various factors, including inadequate dietary intake, eating disorders such as anorexia or bulimia, socioeconomic factors, or underlying medical conditions that affect nutrient absorption. Malnutrition can lead to complications such as low birth weight, preterm birth, and developmental issues in the fetus. It is crucial for healthcare providers to assess nutritional status during prenatal visits and provide appropriate nutritional counseling and interventions. The unspecified trimester designation indicates that the malnutrition may occur at any point during the pregnancy, necessitating a comprehensive approach to care that includes monitoring and addressing nutritional needs throughout the pregnancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes for malnutrition, including psychological and socioeconomic factors.
  • Need for detailed documentation of dietary habits and nutritional assessments.
  • Potential overlap with other diagnoses such as eating disorders.
  • Variability in clinical presentation and management strategies.

Audit Risk Factors

  • Inadequate documentation of nutritional assessments.
  • Failure to specify the trimester when applicable.
  • Misclassification of malnutrition severity.
  • Lack of interdisciplinary notes indicating nutritional counseling.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation should include a thorough dietary history, assessment of weight gain, and any referrals for nutritional counseling.

Common Clinical Scenarios

Pregnant patients presenting with low weight gain, dietary restrictions, or symptoms of eating disorders.

Billing Considerations

Consideration of cultural dietary practices and their impact on nutritional status.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of high-risk factors, including previous pregnancy outcomes and current nutritional status.

Common Clinical Scenarios

Management of high-risk pregnancies where malnutrition is a concern, requiring close monitoring.

Billing Considerations

Focus on the impact of malnutrition on fetal development and potential interventions.

Coding Guidelines

Inclusion Criteria

Use O25.10 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of malnutrition and its impact on pregnancy
  • Use additional codes to specify any underlying conditions or complications

Exclusion Criteria

Do NOT use O25.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face, initial assessment and intervention

Clinical Scenario

Used when a patient requires nutritional counseling due to malnutrition.

Documentation Requirements

Document the patient's nutritional status, goals, and follow-up plan.

Specialty Considerations

Obstetricians should collaborate with dietitians for comprehensive care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malnutrition in pregnancy, improving the ability to track and manage this condition effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malnutrition in pregnancy, improving the ability to track and manage this condition effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malnutrition in pregnancy, improving the ability to track and manage this condition effectively.

Resources

Clinical References

  • •
    Nutrition in Pregnancy: A Guide for Healthcare Providers

Coding & Billing References

  • •
    Nutrition in Pregnancy: A Guide for Healthcare Providers

Frequently Asked Questions

What are the common causes of malnutrition in pregnancy?

Common causes include inadequate dietary intake, socioeconomic factors, eating disorders, and medical conditions affecting nutrient absorption. It is essential to assess each patient's unique situation to provide appropriate care.