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ICD-10 Guide
ICD-10 CodesO25.3

O25.3

Billable

Malnutrition in the puerperium

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

Code Description

ICD-10 O25.3 is a billable code used to indicate a diagnosis of malnutrition in the puerperium.

Key Diagnostic Point:

Malnutrition in the puerperium refers to a condition where a woman experiences inadequate nutrition during the postpartum period, which can adversely affect her recovery and breastfeeding. This condition may arise from various factors, including pre-existing eating disorders, inadequate dietary intake, or socioeconomic factors that limit access to nutritious food. Malnutrition can lead to complications such as delayed wound healing, increased risk of infections, and impaired lactation. It is crucial for healthcare providers to assess nutritional status during postpartum visits and provide appropriate counseling and interventions. Nutritional counseling may include education on balanced diets, supplementation, and addressing any underlying psychological issues related to eating disorders. The management of malnutrition in the puerperium is essential for the health of both the mother and the newborn, as maternal nutrition directly impacts infant growth and development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of malnutrition (e.g., protein-energy malnutrition vs. micronutrient deficiencies)
  • Identifying underlying causes such as eating disorders or socioeconomic factors
  • Documenting the severity and impact of malnutrition on postpartum recovery
  • Co-existing conditions that may complicate nutritional assessment

Audit Risk Factors

  • Inadequate documentation of nutritional assessments
  • Failure to document counseling provided to the patient
  • Misclassification of malnutrition severity
  • Lack of follow-up on nutritional interventions

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation should include detailed dietary assessments, counseling sessions, and any referrals to nutritionists or dietitians.

Common Clinical Scenarios

Postpartum women presenting with fatigue, poor wound healing, or breastfeeding difficulties due to malnutrition.

Billing Considerations

Consideration of cultural dietary practices and individual patient needs in nutritional counseling.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation should include comprehensive assessments of maternal nutrition and any interventions taken.

Common Clinical Scenarios

High-risk postpartum patients with a history of eating disorders or significant weight loss during pregnancy.

Billing Considerations

Close monitoring of nutritional status in high-risk populations to prevent adverse outcomes.

Coding Guidelines

Inclusion Criteria

Use O25.3 When
  • 10 coding guidelines for O25
  • 3 require documentation of the specific type of malnutrition, its impact on the postpartum period, and any related complications
  • Coders should ensure that the diagnosis is supported by clinical findings

Exclusion Criteria

Do NOT use O25.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used when providing nutritional counseling to postpartum women.

Documentation Requirements

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

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 conditions, improving the ability to capture the nuances of maternal health and nutritional needs during the postpartum period.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malnutrition conditions, improving the ability to capture the nuances of maternal health and nutritional needs during the postpartum period.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malnutrition conditions, improving the ability to capture the nuances of maternal health and nutritional needs during the postpartum period.

Resources

Clinical References

  • •
    Nutrition in Pregnancy and Lactation

Coding & Billing References

  • •
    Nutrition in Pregnancy and Lactation

Frequently Asked Questions

What are the signs of malnutrition in the puerperium?

Signs of malnutrition may include significant weight loss, fatigue, poor wound healing, and difficulties with breastfeeding. Healthcare providers should assess dietary intake and provide appropriate interventions.