![]() Pregnancy Screening and Complications ICD 9 Diagnosis CodesCurrent guidelines indicate that ICD-9-CM code 648.21 is the principal diagnosis for a woman with a pregnancy complicated by anemia who undergoes a cesarean delivery due to fetal distress not present at admission.ĭecreased Fetal MovementDecreased fetal movement (655.7x)-a condition in which a mother cannot feel the fetus move-can be an early sign of a problematic pregnancy. This may seem counterintuitive to coders trained to report the principal diagnosis as the condition after study that is chiefly responsible for admission. A pregnancy diagnosis is always reported first, she says. Coders must remember that pregnancy is a disease process separate from other disease processes that patients may experience. Therefore, reviewing the related coding guidelines is helpful. The fifth digit denotes:Ġ, unspecified as to episode of care or not applicableġ, delivered, with or without mention of antepartum conditionĢ, delivered, with mention of postpartum complicationĭepending on the demographics of the region a hospital serves, its coders could determine code assignment for hundreds of deliveries and pregnancy-related services annually. ![]() For example, if a patient is diagnosed with transient hypertension in pregnancy, you would report 642.3x. In ICD-9-CM, you often need a fifth character to denote whether the mother gave birth during the encounter. Codes for complications of pregnancy, childbirth, and the puerperium appear in Chapter 11 in ICD-9-CM.
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