Maternal care for other rhesus isoimmunization, second trimester (fetus 3)
ICD-10 O36.0923 is a billable code used to indicate a diagnosis of maternal care for other rhesus isoimmunization, second trimester (fetus 3).
Maternal care for rhesus isoimmunization involves monitoring and managing the health of the mother and fetus when the mother has developed antibodies against the Rh factor, which can lead to hemolytic disease of the fetus and newborn (HDFN). In the second trimester, the fetus is particularly vulnerable to complications such as fetal growth restriction (FGR) and fetal distress due to the effects of maternal antibodies on fetal red blood cells. Care includes regular ultrasounds to assess fetal growth, Doppler studies to evaluate blood flow, and possibly intrauterine transfusions if severe anemia is detected. The management plan may also involve close monitoring of maternal health, including hemoglobin levels and signs of complications. The goal is to ensure the best possible outcomes for both mother and fetus, necessitating a multidisciplinary approach involving obstetricians, maternal-fetal medicine specialists, and pediatricians.
Detailed records of maternal health, fetal assessments, and treatment plans are essential.
Management of a pregnant woman with a history of Rh isoimmunization presenting for routine care.
Ensure all maternal and fetal assessments are documented to support the complexity of care.
Comprehensive documentation of high-risk factors, including ultrasound findings and interventions.
A patient with Rh isoimmunization requiring close monitoring for fetal anemia.
Consider the need for specialized interventions such as intrauterine transfusions.
Used for monitoring fetal growth and well-being in cases of isoimmunization.
Document indications for ultrasound and findings.
Ensure that the ultrasound is performed by qualified personnel and that results are communicated to the care team.
Coding O36.0923 is crucial for tracking maternal and fetal health in cases of rhesus isoimmunization, ensuring appropriate care and interventions are documented and reimbursed.
