ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.63

Z37.63

Quintuplets, some liveborn

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z37.63 is a billable code used to indicate a diagnosis of quintuplets, some liveborn.

Key Diagnostic Point:

Z37.63 is used to indicate the birth of quintuplets, where at least one of the infants is liveborn. This code is crucial for understanding the health status of both the mother and the infants, as multiple births often come with increased risks for complications such as preterm labor, low birth weight, and developmental issues. Social determinants of health, such as access to prenatal care, socioeconomic status, and maternal health, play a significant role in the outcomes of multiple births. Preventive care for mothers of quintuplets includes regular prenatal visits, nutritional counseling, and screenings for gestational diabetes and hypertension. Aftercare for both the mother and the infants is essential, focusing on monitoring growth, development, and any potential health issues that may arise due to the complexities of multiple births.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate documentation of liveborn status
  • Potential for multiple associated complications
  • Variability in outcomes based on social determinants
  • Requirement for detailed prenatal and postnatal care records

Audit Risk Factors

  • Inadequate documentation of liveborn status
  • Failure to capture all infants in the coding
  • Misclassification of complications related to multiple births
  • Lack of follow-up care documentation

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Comprehensive prenatal visit records, including maternal health assessments and screenings.

Common Clinical Scenarios

Routine checkups during pregnancy, management of complications, and postnatal visits for mother and infants.

Billing Considerations

Consideration of social determinants such as access to care, support systems, and socioeconomic factors affecting health.

Public Health

Documentation Requirements

Data collection for maternal and infant health outcomes, including tracking of quintuplet births in population health studies.

Common Clinical Scenarios

Epidemiological studies on multiple births and preventive health initiatives targeting high-risk pregnancies.

Billing Considerations

Focus on community resources and interventions to improve health outcomes for families with multiple births.

Coding Guidelines

Inclusion Criteria

Use Z37.63 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 63 should be sequenced appropriately, typically following the primary diagnosis related to the delivery or complications
  • Payer requirements may vary, so it is essential to verify specific guidelines for billing

Exclusion Criteria

Do NOT use Z37.63 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with Z37.63 for mothers who smoke and are pregnant with quintuplets.

Documentation Requirements

Document counseling sessions and any referrals for smoking cessation programs.

Specialty Considerations

Primary care providers should address smoking cessation as part of comprehensive prenatal care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data collection and health outcome tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data collection and health outcome tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data collection and health outcome tracking.

Resources

Clinical References

  • •
    CDC Guidelines on Multiple Births

Coding & Billing References

  • •
    CDC Guidelines on Multiple Births

Frequently Asked Questions

What documentation is required for coding Z37.63?

Documentation must include the number of liveborn infants, any complications during pregnancy or delivery, and follow-up care details for both the mother and infants, including social determinants affecting health.