ICD-10 Coding for Constipation in Pregnancy(O99.619, K59.00)
Complete ICD-10-CM coding and documentation guide for Constipation in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Constipation in Pregnancy
O99.61-O99.63Primary Range
Diseases of the digestive system complicating pregnancy, childbirth, and the puerperium
This range includes codes for digestive system diseases that complicate pregnancy, including constipation.
Functional intestinal disorders, including constipation
This range includes codes for constipation not specifically related to 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 |
|---|---|---|---|
| O99.619 | Diseases of the digestive system complicating pregnancy, unspecified trimester | Use when constipation is directly related to pregnancy and affects the digestive system. |
|
| K59.00 | Constipation, unspecified | Use when constipation is unrelated to 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 constipation in pregnancy
Essential facts and insights about Constipation in Pregnancy
Primary ICD-10-CM Codes for constipation in pregnancy
Decision Criteria
clinical Criteria
- Constipation symptoms exacerbated by pregnancy hormones
Applicable To
- Constipation due to pregnancy
Excludes
- Constipation not related to pregnancy (K59.00)
Clinical Validation Requirements
- Documentation of constipation directly linked to pregnancy
- Evidence of hormonal influence on bowel motility
Code-Specific Risks
- Incorrectly using K59.00 for pregnancy-related cases
Coding Notes
- Ensure documentation specifies the trimester and relationship to pregnancy.
K59.00 - Constipation, unspecified
Use when constipation is unrelated to pregnancy.
Applicable To
- Chronic idiopathic constipation
Excludes
- Pregnancy-related constipation (O99.619)
Clinical Validation Requirements
- Documentation of constipation without pregnancy linkage
Coding Notes
Ensure constipation is not linked to pregnancy before using this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Weeks of gestation
Z3A.XXDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Constipation in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.619.
Impact
Clinical: Inaccurate clinical picture of pregnancy status, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Always document gestational age with Z3A.XX code.
Impact
Reimbursement: Incorrect reimbursement due to misclassification, Compliance: Non-compliance with ICD-10 coding guidelines, Data Quality: Inaccurate clinical data affecting patient care
Mitigation Strategy
Use O99.619 with appropriate gestational age code
Impact
Using K59.00 instead of O99.619 for pregnancy-related constipation
Mitigation Strategy
Educate coders on the importance of linking constipation to pregnancy when applicable.
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 Constipation in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Constipation in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Constipation in Pregnancy. These templates include all required elements for proper coding and billing.
Pregnancy-related constipation
Specialty: ObstetricsRequired Elements
- Patient's gestational age
- Constipation symptoms
- Relation to pregnancy hormones
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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