Get a Jumpstart on New ICD-10-CM Ob-Gyn Codes for 2019 Reporting
Employ These 2019 ICD-10-CM Updates into Your Ob-Gyn Reporting to Steer Clear of Denials Oct. 1
Ob-gyn practices across the country are now trying to get familiar with the latest updates to the 2019 ICD-10-CM code set. Of the 470+ changes, 33 apply directly to ob-gyn — from lumps in the breast and multiple gestation pregnancies to uterine disorders and obstetric surgical wound infections.
Staying on top of the new and revised ICD-10 codes coming Oct. 1 should be a priority for your ob-gyn practice.
Keep reading for an overview of the most relevant changes in ICD-10 codes for ob-gyn:
New Codes for Multiple Gestation 030
If you code for multiple-gestation pregnancies, you’ll choose from over a dozen new codes that specify that the number of chorions and amnions equal the number of fetuses. These include:
O30.1 Triplet pregnancy
O30.13 Triplet pregnancy, trichorionic/triamniotic
O30.131 Triplet pregnancy, trichorionic/triamniotic, first trimester
O30.132 Triplet pregnancy, trichorionic/triamniotic, second trimester
O30.133 Triplet pregnancy, trichorionic/triamniotic, third trimester
O30.139 Triplet pregnancy, trichorionic/triamniotic, unspecified trimester
O30.2 Quadruplet pregnancy
O30.23 Quadruplet pregnancy, quadrachorionic/quadra-amniotic
O30.231 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, first trimester
O30.232 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, second trimester
O30.233 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, third trimester
O30.239 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified trimester
O30.8 Other specified multiple gestation
O30.83 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses
Pentachorionic, penta-amniotic pregnancy (quintuplets) Hexachorionic, hexa-amniotic pregnancy (sextuplets) Heptachorionic, hepta-amniotic pregnancy (septuplets)
O30.831 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, first trimester
O30.832 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, second trimester
O30.833 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, third trimester
O30.839 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, unspecified trimester
New Z Code Options
Your ob-gyn practice also needs to make note of new Z codes for exams and screenings:
Z13.32 — Encounter for screening for maternal depression
Z62.813 — Personal history of forced labor or sexual exploitation in childhood
Z91.42 — Personal history of forced labor or sexual exploitation
Update Your Zika Coding
Zika diagnosis codes were added in a couple of different places in the 2019 ICD-10-CM code set:
P35.4 (Congenital Zika virus disease)
Z20.821 (Contact with and (suspected) exposure to Zika virus).
New Surgical Wound Infection Codes
You’ll also add more detail to your coding for obstetric surgical wound infections with new codes for:
O86.0 Infection of obstetric surgical wound
Excludes1: complications of procedures, not elsewhere classified (T81.4-)
postprocedural fever NOS (R50.82)
postprocedural retroperitoneal abscess (K68.11)
O86.00 Infection of obstetric surgical wound, unspecified
O86.01 Infection of obstetric surgical wound, superficial incisional site
Subcutaneous abscess following an obstetrical procedure
Stitch abscess following an obstetrical procedure
O86.02 Infection of obstetric surgical wound, deep incisional site
Intramuscular abscess following an obstetrical procedure
Sub-fascial abscess following a procedure
O86.03 Infection of obstetric surgical wound, organ and space site
Intraabdominal abscess following an obstetrical procedure
Subphrenic abscess following an obstetrical procedure
O86.04 Sepsis following an obstetrical procedure
Use Additional code to identify the sepsis
O86.09 Infection of obstetric surgical wound, other surgical site
Remember: In 2019, you’ll need an additional character for O86.0- that provides more detail about the wound site. If you do not add the additional character, the payer won’t accept the code.
Postpartum Depression
You’ll also find new code for
F53 (Mental and behavioral disorders associated with the puerperium, not elsewhere classified)
F53.0 (Postpartum depression)
Postnatal depression, NOS
Postpartum depression, NOS
F53.1 (Puerperal psychosis)
Postpartum psychosis
Puerperal psychosis, NOS
Z91.42 (Personal history of forced labor or sexual exploitation)
Still, additional changes are on the horizon — including revisions to breast lump, ovarian pregnancy, fallopian tube removal codes, and more.
Gear Up for ICD-10 2019 & Pave a Smooth Path to October 1st
Will your practice be ready to incorporate the new and revised diagnosis codes?
Let us help you avoid claim denials and potential paybacks.
With TCI’s Ob-Gyn Coding Alert, you’ll stay on top of the latest CPT®, ICD-10, and HCPCS code changes, as well as revisions to ob-gyn coding guidelines, CCI bundles, payer policies, modifiers, and more. Our up-to-the-minute guidance delivered each month will equip you to keep pace with industry updates and conquer the myriad revenue-risking challenges that complicate your work.
