Maternal care for anti-D [Rh] antibodies, first trimester (fetus 5)
ICD-10 O36.0115 is a billable code used to indicate a diagnosis of maternal care for anti-d [rh] antibodies, first trimester (fetus 5).
O36.0115 refers to maternal care for a pregnancy complicated by the presence of anti-D (Rh) antibodies during the first trimester, specifically for the fifth fetus. This condition arises when an Rh-negative mother is exposed to Rh-positive blood, leading to the development of antibodies that can affect the fetus. The presence of these antibodies can result in hemolytic disease of the newborn, fetal growth restriction, and fetal distress. Close monitoring is essential to assess fetal well-being, including regular ultrasounds to evaluate growth and amniotic fluid levels, as well as non-stress tests to monitor fetal heart rate patterns. Management may involve interventions such as Rh immunoglobulin administration to prevent further antibody formation and careful planning for delivery to mitigate risks associated with fetal anemia and other complications.
Documentation must include maternal blood type, antibody screening results, and any interventions performed.
Management of Rh-negative mothers with previous sensitization, monitoring for fetal growth restriction.
Ensure accurate coding of any additional complications that may arise during pregnancy.
Detailed records of high-risk assessments, including ultrasound findings and fetal monitoring.
Complex cases involving multiple pregnancies or severe fetal anemia.
Focus on interdisciplinary communication and comprehensive care plans.
Used for comprehensive care of a patient with anti-D antibodies throughout pregnancy.
Document all visits, assessments, and interventions related to the management of Rh incompatibility.
Ensure coordination with maternal-fetal medicine specialists for high-risk cases.
Accurate coding of O36.0115 is crucial for ensuring appropriate management of Rh incompatibility, which can lead to serious fetal complications. It also impacts reimbursement and quality of care metrics.