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v1.0.0
ICD-10 Guide
ICD-10 CodesZ37.64

Z37.64

Sextuplets, some liveborn

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

Code Description

ICD-10 Z37.64 is a billable code used to indicate a diagnosis of sextuplets, some liveborn.

Key Diagnostic Point:

Z37.64 is used to indicate a delivery involving sextuplets, where at least one of the infants is liveborn. This scenario presents unique clinical challenges, including the need for specialized prenatal care, monitoring for complications such as preterm labor, and the management of multiple gestations. Social determinants of health, such as access to healthcare, socioeconomic status, and support systems, significantly influence outcomes for both the mother and the infants. Preventive care is crucial, including regular prenatal visits, nutritional counseling, and screening for gestational diabetes and hypertension. Aftercare for the mother may involve mental health support and education on caring for multiple infants, while the infants may require extensive neonatal care. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of care provided.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Multiple gestation management complexities
  • Variability in liveborn status among infants
  • Need for extensive documentation of prenatal and postnatal care
  • Potential for co-morbid conditions in mother and infants

Audit Risk Factors

  • Inadequate documentation of liveborn status
  • Failure to capture all infants in the coding
  • Misclassification of the primary diagnosis
  • Lack of supporting documentation for preventive care

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Comprehensive prenatal visit notes, including screenings and assessments.

Common Clinical Scenarios

Routine checkups, management of pregnancy complications, and postpartum care.

Billing Considerations

Consideration of social determinants such as family support and access to resources.

Public Health

Documentation Requirements

Data collection for maternal and infant health outcomes, including demographic information.

Common Clinical Scenarios

Epidemiological studies on multiple births and preventive health initiatives.

Billing Considerations

Focus on community health resources and education for families with multiple births.

Coding Guidelines

Inclusion Criteria

Use Z37.64 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • When coding Z37
  • 64, it should be sequenced appropriately based on the primary diagnosis related to the pregnancy or delivery
  • Payer requirements may vary, so it is essential to verify specific guidelines

Exclusion Criteria

Do NOT use Z37.64 When
No specific exclusions found.

Related CPT Codes

59400CPT Code

Obstetrical care, antepartum

Clinical Scenario

Used during prenatal visits for mothers of sextuplets.

Documentation Requirements

Complete records of all prenatal visits and screenings.

Specialty Considerations

Focus on comprehensive care and coordination among specialists.

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 accuracy and healthcare outcomes tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data accuracy and healthcare outcomes tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding multiple births, improving data accuracy and healthcare outcomes tracking.

Resources

Clinical References

  • •
    CDC Multiple Births Data

Coding & Billing References

  • •
    CDC Multiple Births Data

Frequently Asked Questions

What documentation is required for coding Z37.64?

Documentation must include the number of liveborn infants, prenatal care details, and any complications during pregnancy or delivery. Preventive care measures taken during the pregnancy should also be documented.