ICD-10 Coding for Anemia Complicating Pregnancy(O99.013, D50.9)
Complete ICD-10-CM coding and documentation guide for Anemia Complicating Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anemia Complicating Pregnancy
O99.0Primary Range
Anemia complicating pregnancy, childbirth, and the puerperium
This range includes codes for anemia that complicates pregnancy, childbirth, and the puerperium, providing specificity for trimester and type of anemia.
Nutritional anemias
These codes are used to specify the type of anemia, such as iron deficiency, when documented alongside O99.0 codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O99.013 | Anemia complicating pregnancy, third trimester | Use when anemia is documented as complicating the third trimester of pregnancy. |
|
| D50.9 | Iron deficiency anemia, unspecified | Use alongside O99.0 codes when iron deficiency is documented. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for anemia complicating pregnancy
Essential facts and insights about Anemia Complicating Pregnancy
Primary ICD-10-CM Codes for anemia complicating pregnancy
Decision Criteria
clinical Criteria
- Anemia with hemoglobin <11 g/dL and symptoms in third trimester
documentation Criteria
- Explicit mention of anemia complicating pregnancy
Applicable To
- Anemia in pregnancy, third trimester
Excludes
- Pre-existing anemia (D50-D64)
Clinical Validation Requirements
- Hemoglobin <11 g/dL in third trimester
- Symptoms such as fatigue, tachycardia
Code-Specific Risks
- Incorrect trimester specification
- Lack of documentation linking anemia to pregnancy
Coding Notes
- Ensure documentation specifies the trimester and links anemia to pregnancy complications.
D50.9 - Iron deficiency anemia, unspecified
Use alongside O99.0 codes when iron deficiency is documented.
Applicable To
- Iron deficiency anemia NOS
Excludes
- Anemia due to other causes
Clinical Validation Requirements
- Ferritin <30 ng/L
- Microcytic indices
Coding Notes
Ensure iron deficiency is documented with lab values.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
32 weeks gestation of pregnancy
Z3A.32Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anemia Complicating Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.013.
Impact
Clinical: Inaccurate clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Always include trimester in documentation, Use templates to ensure completeness
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Ensure documentation specifies the trimester or use O99.019.
Impact
Failure to specify trimester can lead to audit findings.
Mitigation Strategy
Use documentation templates that include trimester fields.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Anemia Complicating Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anemia Complicating Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Anemia Complicating Pregnancy. These templates include all required elements for proper coding and billing.
Third trimester anemia complicating pregnancy
Specialty: ObstetricsRequired Elements
- Trimester-specific hemoglobin levels
- Ferritin levels
- Symptoms and complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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