ICD-10 Coding for Fetal Pyelectasis(O35.8XX, Q62.0)
Complete ICD-10-CM coding and documentation guide for Fetal Pyelectasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fetal Pyelectasis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O35.8XX | Maternal care for other (suspected) fetal abnormality and damage | Use during prenatal care when fetal pyelectasis is suspected based on ultrasound findings. |
|
| Q62.0 | Congenital hydronephrosis | Use postnatally when hydronephrosis is confirmed. |
|
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 fetal pyelectasis
Essential facts and insights about Fetal Pyelectasis
Primary ICD-10-CM Codes for fetal pyelectasis
Decision Criteria
clinical Criteria
- APRPD measurement ≥4 mm before 20 weeks gestation.
Applicable To
- Suspected fetal renal anomaly
Excludes
- Confirmed postnatal hydronephrosis (Q62.0)
Clinical Validation Requirements
- Ultrasound measurement of anteroposterior renal pelvic diameter (APRPD) ≥4 mm before 20 weeks gestation.
Code-Specific Risks
- Incorrectly using postnatal codes during prenatal period.
Coding Notes
- Ensure documentation includes specific measurements and laterality.
Q62.0 - Congenital hydronephrosis
Use postnatally when hydronephrosis is confirmed.
Applicable To
- Postnatal confirmation of hydronephrosis
Excludes
- Prenatal pyelectasis (O35.8XX)
Clinical Validation Requirements
- Postnatal ultrasound confirming hydronephrosis.
Coding Notes
Ensure postnatal confirmation before using.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for other screening for genetic and chromosomal anomalies
Z13.79Differential 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 Fetal Pyelectasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O35.8XX.
Impact
Clinical: Inadequate clinical information for follow-up., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Always include laterality in ultrasound reports., Use standardized templates for documentation.
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use O35.8XX during prenatal care.
Impact
Using postnatal codes during prenatal care.
Mitigation Strategy
Regular training on code sequencing and documentation requirements.
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 Fetal Pyelectasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fetal Pyelectasis
Use these documentation templates to ensure complete and accurate documentation for Fetal Pyelectasis. These templates include all required elements for proper coding and billing.
Prenatal ultrasound finding of pyelectasis
Specialty: ObstetricsRequired Elements
- Gestational age
- APRPD measurement
- Laterality
- Associated findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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