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ICD-10 Guide
ICD-10 CodesO31.00

O31.00

Billable

Papyraceous fetus, unspecified trimester

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

Code Description

ICD-10 O31.00 is a billable code used to indicate a diagnosis of papyraceous fetus, unspecified trimester.

Key Diagnostic Point:

Papyraceous fetus refers to a condition where a fetus is found to be flattened and parchment-like, typically due to the loss of amniotic fluid or intrauterine demise, often occurring in cases of multiple gestation. This condition can arise from complications such as twin-to-twin transfusion syndrome (TTTS), where one twin receives excessive blood flow at the expense of the other, leading to growth discrepancies and potential demise of one or both fetuses. The diagnosis of a papyraceous fetus is significant as it may indicate underlying issues in the pregnancy, particularly in multiple gestations. The condition can be identified through ultrasound imaging, which may reveal the characteristic appearance of the affected fetus. Management may involve close monitoring and potential interventions to address complications arising from TTTS or other related conditions. Accurate coding is essential for proper documentation and management of these complex cases, as they often require multidisciplinary care and can impact maternal and fetal outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Involvement of multiple gestations complicates diagnosis and management.
  • Differentiating between papyraceous fetus and other fetal demise conditions.
  • Need for detailed ultrasound findings to support coding.
  • Potential for associated conditions like TTTS requiring additional codes.

Audit Risk Factors

  • Inadequate documentation of ultrasound findings.
  • Failure to document the gestational age of the affected fetus.
  • Misclassification of the condition as a simple fetal demise.
  • Lack of clarity on the management plan for the pregnancy.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed ultrasound reports, maternal history, and management plans.

Common Clinical Scenarios

Identifying papyraceous fetus during routine ultrasounds in multiple gestations.

Billing Considerations

Need for clear documentation of fetal status and any interventions performed.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive records of high-risk assessments and interventions.

Common Clinical Scenarios

Management of TTTS and its impact on fetal outcomes.

Billing Considerations

Focus on the implications of fetal demise on maternal health and future pregnancies.

Coding Guidelines

Inclusion Criteria

Use O31.00 When
  • Follow official ICD
  • CM guidelines for coding obstetric conditions, ensuring accurate documentation of gestational age and any associated complications
  • Specific criteria for multiple gestations and fetal conditions must be adhered to for proper coding

Exclusion Criteria

Do NOT use O31.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76811CPT Code

Ultrasound, obstetric, transabdominal, real-time with image documentation

Clinical Scenario

Used for routine monitoring of multiple gestations and identifying complications like papyraceous fetus.

Documentation Requirements

Detailed ultrasound findings and fetal assessments.

Specialty Considerations

Obstetricians should ensure comprehensive documentation of findings related to multiple gestations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like papyraceous fetus, improving the ability to capture the complexities of multiple gestations and their complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like papyraceous fetus, improving the ability to capture the complexities of multiple gestations and their complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like papyraceous fetus, improving the ability to capture the complexities of multiple gestations and their complications.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding O31.00?

Coding O31.00 is crucial for accurately documenting cases of papyraceous fetus, particularly in multiple gestations, as it impacts management decisions and maternal-fetal outcomes.