ICD-10 Coding for Anemia in Pregnancy(O99.011, O99.012, O99.013)
Complete ICD-10-CM coding and documentation guide for Anemia in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anemia in Pregnancy
O99.0Primary Range
Anemia complicating pregnancy, childbirth, and the puerperium
This range includes codes for anemia that complicates pregnancy, childbirth, and the puerperium.
Nutritional anemias and other anemias
These codes are used to specify the type of anemia, such as iron deficiency, when it complicates pregnancy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O99.011 | Anemia complicating pregnancy, first trimester | Use when anemia is documented as complicating the first trimester of pregnancy. |
|
| O99.012 | Anemia complicating pregnancy, second trimester | Use when anemia is documented as complicating the second trimester of pregnancy. |
|
| O99.013 | Anemia complicating pregnancy, third trimester | Use when anemia is documented as complicating the third trimester of pregnancy. |
|
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 in pregnancy
Essential facts and insights about Anemia in Pregnancy
Primary ICD-10-CM Codes for anemia in pregnancy
Decision Criteria
clinical Criteria
- Anemia documented as complicating first trimester
documentation Criteria
- Trimester and type of anemia specified
Applicable To
- Iron deficiency anemia in first trimester
Excludes
- Anemia not complicating pregnancy
Clinical Validation Requirements
- Hemoglobin level <11 g/dL in first trimester
- Documentation of anemia type and trimester
Code-Specific Risks
- Incorrect trimester documentation
Coding Notes
- Ensure trimester is correctly documented to avoid coding errors.
O99.012 - Anemia complicating pregnancy, second trimester
Use when anemia is documented as complicating the second trimester of pregnancy.
Applicable To
- Iron deficiency anemia in second trimester
Excludes
- Anemia not complicating pregnancy
Clinical Validation Requirements
- Hemoglobin level <10.5 g/dL in second trimester
- Documentation of anemia type and trimester
Coding Notes
Ensure trimester is correctly documented to avoid coding errors.
O99.013 - Anemia complicating pregnancy, third trimester
Use when anemia is documented as complicating the third trimester of pregnancy.
Applicable To
- Iron deficiency anemia in third trimester
Excludes
- Anemia not complicating pregnancy
Clinical Validation Requirements
- Hemoglobin level <10.5 g/dL in third trimester
- Documentation of anemia type and trimester
Coding Notes
Ensure trimester is correctly documented to avoid coding errors.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Iron deficiency anemia, unspecified
D50.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anemia in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.011.
Impact
Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with ICD-10 documentation standards., Financial: Potential claim denials or incorrect reimbursement.
Mitigation Strategy
Always include trimester in documentation., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data reporting and analysis.
Mitigation Strategy
Use O99.02 alone for unspecified anemia during childbirth.
Impact
Failure to sequence O99.0 codes first when anemia complicates pregnancy.
Mitigation Strategy
Educate coding staff on proper sequencing rules.
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 in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anemia in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Anemia in Pregnancy. These templates include all required elements for proper coding and billing.
Anemia in second trimester pregnancy
Specialty: ObstetricsRequired Elements
- Trimester
- Type of anemia
- Link to pregnancy
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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