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Home/Diagnosis/ICD-10 Coding for Pregnancy Screening

ICD-10 Coding for Pregnancy Screening

Z36.0
O28.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pregnancy screening includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Antenatal Screening
Prenatal Screening
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Key Information: ICD-10 Coding for Pregnancy Screening

Essential facts and insights about ICD-10 Coding for Pregnancy Screening

Use ICD-10 code Z36.0 for encounter for antenatal screening for chromosomal anomalies, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for antenatal screening for chromosomal anomalies

Billable Code
Z36.0
Billable

Diagnostic Criteria

  • • Nuchal translucency ≥3.5mm
  • • PAPP-A <0.4 MoM
  • • Free β-hCG >2.5 MoM

Applicable To

  • • Screening for Down syndrome
  • • Screening for trisomy 18

Important Notes

  • • Ensure documentation specifies the type of screening and gestational age.

Abnormal biochemical finding on antenatal screening

Billable Code
O28.1
Billable

Diagnostic Criteria

  • • MSAFP ≥2.5 MoM

Applicable To

  • • Elevated AFP levels

Important Notes

  • • Ensure abnormal findings are clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z3A.15

15 weeks gestation

Use to specify the gestational age when using Z36.0.

Z3A.23

23 weeks gestation

Use to specify the gestational age when using O28.1.

Frequently Asked Questions

What is the ICD-10 code for pregnancy screening?

The ICD-10 code for pregnancy screening is Z36, which covers encounters for antenatal screening of the mother.

How do you code abnormal findings in pregnancy screening?

Use O28 codes for abnormal findings on antenatal screening, such as O28.1 for abnormal biochemical findings.

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