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 CodesZ38.01

Z38.01

Single liveborn infant, delivered by cesarean

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

Code Description

ICD-10 Z38.01 is a billable code used to indicate a diagnosis of single liveborn infant, delivered by cesarean.

Key Diagnostic Point:

Z38.01 is used to indicate a single liveborn infant who was delivered via cesarean section. This code is essential for capturing the mode of delivery, which can influence both immediate and long-term health outcomes for the infant. Factors influencing health status include maternal health, access to prenatal care, and socioeconomic conditions. Social determinants such as maternal education, income level, and community resources play a crucial role in the health of both the mother and the newborn. Preventive care for the infant includes routine screenings for congenital conditions, immunizations, and developmental assessments. Aftercare may involve follow-up visits to monitor growth and development, as well as addressing any complications arising from the cesarean delivery. Accurate coding of Z38.01 is vital for healthcare providers to ensure appropriate resource allocation and to track health outcomes effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate documentation of delivery method
  • Potential for co-morbid conditions affecting the infant
  • Variability in coding practices across different facilities
  • Importance of capturing maternal health factors

Audit Risk Factors

  • Inadequate documentation of the delivery method
  • Failure to capture maternal health conditions
  • Incorrect sequencing of codes related to delivery
  • Misinterpretation of the infant's health status post-delivery

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of the cesarean delivery, maternal health history, and any immediate postnatal care provided.

Common Clinical Scenarios

Routine checkups for the newborn, screenings for congenital conditions, and immunization schedules.

Billing Considerations

Consideration of social determinants such as access to healthcare, maternal education, and socioeconomic status.

Public Health

Documentation Requirements

Population-level data on cesarean deliveries, maternal health outcomes, and infant health statistics.

Common Clinical Scenarios

Epidemiological studies on cesarean delivery rates and associated health outcomes.

Billing Considerations

Tracking health disparities related to cesarean deliveries and maternal health.

Coding Guidelines

Inclusion Criteria

Use Z38.01 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 01 should be sequenced appropriately, often following codes for maternal conditions or complications
  • Payer requirements may vary, so it's essential to verify specific guidelines for each insurance provider

Exclusion Criteria

Do NOT use Z38.01 When
No specific exclusions found.

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum, delivery, and postpartum care

Clinical Scenario

Used in conjunction with Z38.01 for comprehensive maternal and infant care.

Documentation Requirements

Complete documentation of all care provided during the pregnancy, delivery, and postpartum period.

Specialty Considerations

Primary care providers should ensure continuity of care and address any social determinants affecting health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has increased specificity in coding, allowing for better tracking of health outcomes related to delivery methods and maternal health.

ICD-9 vs ICD-10

The transition to ICD-10 has increased specificity in coding, allowing for better tracking of health outcomes related to delivery methods and maternal health.

Reimbursement & Billing Impact

The transition to ICD-10 has increased specificity in coding, allowing for better tracking of health outcomes related to delivery methods and maternal health.

Resources

Clinical References

  • •
    CDC Guidelines for Immunization

Coding & Billing References

  • •
    CDC Guidelines for Immunization

Frequently Asked Questions

What documentation is required for Z38.01?

Documentation must include details of the cesarean delivery, maternal health history, and any immediate postnatal care provided. Additionally, follow-up visits for the infant should be documented to ensure comprehensive care.