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ICD-10 Coding for Decreased Fetal Movement in Third Trimester(O36.8130)

Complete ICD-10-CM coding and documentation guide for Decreased Fetal Movement in Third Trimester. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Reduced Fetal MovementsDiminished Fetal Activity

Related ICD-10 Code Ranges

Complete code families applicable to Decreased Fetal Movement in Third Trimester

O36.81-O36.89Primary Range

Maternal care for other fetal problems

This range includes codes for maternal care due to fetal problems, including decreased fetal movement.

Weeks of gestation

Used to specify the exact weeks of gestation when documenting decreased fetal movement.

Key Information: ICD-10 code for decreased fetal movement third trimester

Essential facts and insights about Decreased Fetal Movement in Third Trimester

The ICD-10 code for decreased fetal movement in the third trimester is O36.8130, used for confirmed cases in pregnancies of 28 weeks or more.

Primary ICD-10-CM Code for decreased fetal movement third trimester

Maternal care for decreased fetal movements, third trimester
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed decreased fetal movements in the third trimester

documentation Criteria

  • Documented gestational age and test results

Applicable To

  • Decreased fetal movements in the third trimester

Excludes

Clinical Validation Requirements

  • Documented decreased fetal movements
  • Gestational age in the third trimester
  • Results from NST or BPP

Code-Specific Risks

  • Incorrect trimester coding
  • Omitting gestational age

Coding Notes

  • Ensure trimester and fetal movement specifics are documented.

Ancillary Codes

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

Weeks of gestation

Z3A.32-Z3A.42
Document the exact weeks of gestation.

Fetal non-stress test (NST)

59025
Use when NST is performed to assess fetal well-being.

Biophysical profile with NST

76818
Use when a biophysical profile is performed.

Differential Codes

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

Oligohydramnios

O41.8XX9
Use when decreased amniotic fluid is the primary issue.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Decreased Fetal Movement in Third Trimester to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O36.8130.

Impact

Clinical: May lead to misinterpretation of fetal status., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Train staff on specific documentation requirements., Use standardized templates.

Impact

Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Query for the specific trimester or use the correct trimester code.

Impact

Failure to specify the trimester can lead to audit issues.

Mitigation Strategy

Always document the gestational age in weeks and days.

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 Decreased Fetal Movement in Third Trimester, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Decreased Fetal Movement in Third Trimester

Use these documentation templates to ensure complete and accurate documentation for Decreased Fetal Movement in Third Trimester. These templates include all required elements for proper coding and billing.

OB Triage for Decreased Fetal Movement

Specialty: Obstetrics

Required Elements

  • Chief complaint of decreased fetal movements
  • Gestational age in weeks and days
  • Results of NST or BPP

Example Documentation

[Chief Complaint] 'Decreased fetal movements x [duration] with [number] kicks in [time period]' [Assessment] 1. Decreased fetal movements, third trimester (O36.8130) 2. Gestational age [exact weeks+days] (Z3A.__) [Plan] - Performed [NST/BPP/Doppler] with [specific findings] - [Discharge/Admit] per [protocol name] with [follow-up instructions]

Examples: Poor vs. Good Documentation

Poor Documentation Example
Mom says baby moving less. NST done.
Good Documentation Example
Quantified DFM: 3 movements/4hrs. Non-reactive NST (0 accels/40min). Admitted for continuous monitoring per MFM protocol 2024.
Explanation
The good example provides specific movement counts, NST results, and follow-up actions.

Need help with ICD-10 coding for Decreased Fetal Movement in Third Trimester? Ask your questions below.

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