ICD-10 Coding for Decreased Fetal Movement(O36.81X0, O36.8131)
Complete ICD-10-CM coding and documentation guide for Decreased Fetal Movement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Decreased Fetal Movement
O36.81X0-O36.81X9Primary Range
Maternal care for decreased fetal movements
This range covers codes specific to decreased fetal movement, including trimester and fetus specificity.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O36.81X0 | Maternal care for decreased fetal movements, unspecified trimester, fetus 1 | Use when decreased fetal movement is confirmed in an unspecified trimester for fetus 1. |
|
| O36.8131 | Maternal care for decreased fetal movements, third trimester, fetus 1 | Use when decreased fetal movement is confirmed in the third trimester for fetus 1. |
|
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 decreased fetal movement
Essential facts and insights about Decreased Fetal Movement
Primary ICD-10-CM Codes for decreased fetal movement
Decision Criteria
clinical Criteria
- Confirmed decreased fetal movements with supporting test results.
Applicable To
- Decreased fetal movements in unspecified trimester
Excludes
- Routine fetal monitoring (Z36.8)
Clinical Validation Requirements
- Non-reactive NST
- Biophysical profile score ≤6/10
- Ultrasound showing oligohydramnios
Code-Specific Risks
- Ensure trimester is truly unspecified before using this code.
Coding Notes
- Ensure documentation specifies the fetus and trimester when possible.
O36.8131 - Maternal care for decreased fetal movements, third trimester, fetus 1
Use when decreased fetal movement is confirmed in the third trimester for fetus 1.
Applicable To
- Decreased fetal movements in third trimester
Excludes
- Routine fetal monitoring (Z36.8)
Clinical Validation Requirements
- Non-reactive NST
- Biophysical profile score ≤6/10
- Ultrasound showing oligohydramnios
Coding Notes
Ensure documentation specifies the fetus and trimester.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Decreased Fetal Movement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O36.81X0.
Impact
Clinical: May lead to incorrect clinical management., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always specify which fetus is affected in multiple pregnancies., Use specific codes for each fetus.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Replace with O36.81X_ and include supporting test documentation.
Impact
Using unspecified trimester codes when the trimester is known can trigger audits.
Mitigation Strategy
Ensure documentation specifies the trimester and use the appropriate code.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Decreased Fetal Movement
Use these documentation templates to ensure complete and accurate documentation for Decreased Fetal Movement. These templates include all required elements for proper coding and billing.
Decreased fetal movement in third trimester
Specialty: ObstetricsRequired Elements
- Gestational age
- Fetal position
- NST results
- Ultrasound findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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