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ICD-10 Coding for Biparietal Diameter(O35.0xx+, O33.6xx+)

Complete ICD-10-CM coding and documentation guide for Biparietal Diameter. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

BPD

Related ICD-10 Code Ranges

Complete code families applicable to Biparietal Diameter

O35.0xx+Primary Range

Maternal care for known or suspected fetal CNS malformation

Used when BPD findings suggest CNS malformations such as ventriculomegaly.

Maternal care for disproportion due to hydrocephalus

Applicable when BPD indicates disproportion due to fetal hydrocephalus.

Maternal care for other specified fetal problems

Used for poor fetal growth identified through BPD measurements.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
O35.0xx+Maternal care for known or suspected fetal CNS malformationUse when BPD measurement suggests CNS malformation.
  • Ultrasound report showing CNS anomaly
  • Amniotic fluid AFP >2.5 MoM
O33.6xx+Maternal care for disproportion due to hydrocephalusUse when BPD indicates hydrocephalus-related disproportion.
  • Pelvic exam showing disproportion
  • BPD >10 cm at term

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 biparietal diameter

Essential facts and insights about Biparietal Diameter

The ICD-10 code for biparietal diameter anomalies is O35.0xx+ when CNS malformations are suspected.

Primary ICD-10-CM Codes for biparietal diameter

Maternal care for known or suspected fetal CNS malformation
Non-billable Code

Decision Criteria

clinical Criteria

  • CNS anomaly confirmed via imaging

Applicable To

  • Ventriculomegaly
  • Anencephaly

Excludes

  • Chromosomal abnormalities (O35.1xx+)

Clinical Validation Requirements

  • Ultrasound report showing CNS anomaly
  • Amniotic fluid AFP >2.5 MoM

Code-Specific Risks

  • Incorrectly coding without confirming CNS anomaly

Coding Notes

  • Ensure CNS anomaly is documented before coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Weeks of gestation

Z3A.xx
Use to specify gestational age.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Maternal care for known or suspected chromosomal abnormality

O35.1xx+
Use when chromosomal abnormality is confirmed.

Maternal care for disproportion, unspecified

O33.9
Use when the cause of disproportion is not specified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Biparietal Diameter to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O35.0xx+.

Impact

Clinical: May lead to misinterpretation of fetal growth., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.

Mitigation Strategy

Always pair BPD findings with Z3A.xx codes.

Impact

Reimbursement: May lead to incorrect DRG assignment., Compliance: Could trigger audits for unspecified coding., Data Quality: Reduces specificity in clinical data.

Mitigation Strategy

Ensure specific CNS findings are documented and use the appropriate code.

Impact

High risk of audit if using unspecified codes without detailed findings.

Mitigation Strategy

Document specific anomalies and use precise codes.

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 Biparietal Diameter, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Biparietal Diameter

Use these documentation templates to ensure complete and accurate documentation for Biparietal Diameter. These templates include all required elements for proper coding and billing.

Suspected CNS Malformation

Specialty: Obstetrics

Required Elements

  • Indication
  • Technique
  • Measurements
  • Findings
  • Impression

Example Documentation

Transverse view of fetal head obtained at level of thalami. BPD 10.2 cm (98th percentile for 37 weeks). Head circumference 35.4 cm (>95th percentile).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Head looks big.
Good Documentation Example
BPD 9.8 cm (37 weeks) vs. LMP-based 35 weeks. Recommended fetal MRI to evaluate ventriculomegaly.
Explanation
The good example provides specific measurements and a follow-up plan.

Need help with ICD-10 coding for Biparietal Diameter? Ask your questions below.

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