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v1.0.0
ICD-10 Guide
ICD-10 CodesZ64.1

Z64.1

Problems related to multiparity

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

Code Description

ICD-10 Z64.1 is a billable code used to indicate a diagnosis of problems related to multiparity.

Key Diagnostic Point:

Z64.1 is used to classify problems related to multiparity, which refers to a woman who has given birth two or more times. This code captures the unique health challenges and social determinants that may arise from multiparity, including increased risk for physical and mental health issues, socioeconomic factors, and the need for tailored preventive care. Women with multiparity may face challenges such as fatigue, stress, and potential complications in subsequent pregnancies. Social determinants such as access to healthcare, education, and support systems play a crucial role in their health status. Preventive care may include regular screenings for physical and mental health, nutritional counseling, and family planning services. Understanding these factors is essential for healthcare providers to offer comprehensive care and support to multiparous women, ensuring they receive appropriate screenings and aftercare tailored to their specific needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of health issues associated with multiparity
  • Need for comprehensive documentation of social determinants
  • Potential overlap with other Z codes related to pregnancy and childbirth
  • Variability in patient experiences and health outcomes

Audit Risk Factors

  • Inadequate documentation of multiparity-related health issues
  • Failure to link Z64.1 with appropriate preventive care codes
  • Misuse of Z64.1 when other primary diagnoses are present
  • Lack of clarity in patient history regarding parity

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history, parity details, and any related health issues. Preventive care measures and screenings should be clearly noted.

Common Clinical Scenarios

Routine checkups for multiparous women, screenings for postpartum depression, and nutritional counseling.

Billing Considerations

Consideration of social determinants such as access to childcare, education, and support systems that may affect health outcomes.

Public Health

Documentation Requirements

Population-level data on multiparity and associated health outcomes, including surveillance of maternal health trends.

Common Clinical Scenarios

Epidemiological studies focusing on the health of multiparous women and preventive health initiatives.

Billing Considerations

Tracking health disparities and access to care for multiparous women in various communities.

Coding Guidelines

Inclusion Criteria

Use Z64.1 When
  • Z codes should be used when a patient presents with issues related to multiparity but does not have a specific disease diagnosis
  • It is important to sequence Z64
  • 1 appropriately, often as a secondary diagnosis to capture the full scope of the patient's health status
  • Payer requirements may vary, so it is essential to verify coverage for preventive services linked to this code

Exclusion Criteria

Do NOT use Z64.1 When
No specific exclusions found.

Related CPT Codes

99385CPT Code

Initial preventive medicine evaluation and management, established patient

Clinical Scenario

Used during routine checkups for multiparous women to assess overall health and preventive needs.

Documentation Requirements

Documentation of health history, parity, and any preventive measures discussed.

Specialty Considerations

Primary care providers should focus on comprehensive assessments that address both physical and mental health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding multiparity-related issues, enabling healthcare providers to better capture the complexities of patient health and social determinants.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding multiparity-related issues, enabling healthcare providers to better capture the complexities of patient health and social determinants.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding multiparity-related issues, enabling healthcare providers to better capture the complexities of patient health and social determinants.

Resources

Clinical References

  • •
    Preventive Care Guidelines for Women

Coding & Billing References

  • •
    Preventive Care Guidelines for Women

Frequently Asked Questions

When should Z64.1 be used?

Z64.1 should be used when a patient presents with health issues related to multiparity, particularly when there are no specific disease diagnoses. It is important to document the patient's parity and any associated health concerns.