ICD-10 Coding for Intrauterine Fetal Demise(O36.4XX0)
Complete ICD-10-CM coding and documentation guide for Intrauterine Fetal Demise. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intrauterine Fetal Demise
Key Information: ICD-10 code for IUFD
Essential facts and insights about Intrauterine Fetal Demise
Primary ICD-10-CM Code for iufd
Decision Criteria
clinical Criteria
- Absence of fetal cardiac activity confirmed by ultrasound
documentation Criteria
- Gestational age ≥20 weeks documented
Applicable To
- Confirmed absence of fetal cardiac activity ≥20 weeks gestation
Clinical Validation Requirements
- Ultrasound report confirming absence of fetal cardiac activity
- Gestational age documentation ≥20 weeks
Code-Specific Risks
- Confusing with codes for missed abortion or neonatal death
Coding Notes
- Ensure gestational age is documented and Z3A.XX is used to specify the exact weeks.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intrauterine Fetal Demise to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O36.4XX0.
Impact
Clinical: Incomplete clinical picture, Regulatory: Non-compliance with coding guidelines, Financial: Potential claim denials
Mitigation Strategy
Always document gestational age, Use Z3A.XX code with O36.4
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate maternal health records.
Mitigation Strategy
Use O36.4 with appropriate gestational age code Z3A.XX.
Impact
Failure to document gestational age can lead to audit issues.
Mitigation Strategy
Ensure Z3A.XX is used with O36.4 to specify gestational age.
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 Intrauterine Fetal Demise, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intrauterine Fetal Demise
Use these documentation templates to ensure complete and accurate documentation for Intrauterine Fetal Demise. These templates include all required elements for proper coding and billing.
IUFD Confirmation
Specialty: ObstetricsRequired Elements
- Gestational age
- Ultrasound findings
- Maternal comorbidities
- Counseling provided
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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