ICD-10 Coding for Molar Pregnancy(O01.0, O01.1)
Complete ICD-10-CM coding and documentation guide for Molar Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Molar Pregnancy
O01.0-O01.9Primary Range
Molar pregnancy codes
These codes are used to classify different types of molar pregnancies, including complete and partial moles.
Complications following ectopic and molar pregnancy
These codes are used for complications that arise after the initial treatment of molar pregnancy.
Supervision of pregnancy with history of molar pregnancy
This code is used for prenatal visits in pregnancies following a history of molar 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 |
|---|---|---|---|
| O01.0 | Complete hydatidiform mole | Use for confirmed complete molar pregnancies. |
|
| O01.1 | Partial hydatidiform mole | Use for confirmed partial molar pregnancies. |
|
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 molar pregnancy
Essential facts and insights about Molar Pregnancy
Primary ICD-10-CM Codes for molar pregnancy
Decision Criteria
clinical Criteria
- Ultrasound shows diffuse cystic placental changes with no fetal pole.
documentation Criteria
- hCG levels documented as >100,000 mIU/mL.
Applicable To
- Complete mole
Excludes
- Choriocarcinoma (D39.2)
Clinical Validation Requirements
- Ultrasound showing snowstorm pattern
- hCG levels >100,000 mIU/mL
- Pathology report confirming hydatidiform mole
Code-Specific Risks
- Incorrectly coding as partial mole
Coding Notes
- Ensure documentation specifies complete mole with supporting ultrasound and lab findings.
O01.1 - Partial hydatidiform mole
Use for confirmed partial molar pregnancies.
Applicable To
- Partial mole with fetal parts
Excludes
- Choriocarcinoma (D39.2)
Clinical Validation Requirements
- Ultrasound showing focal cystic changes and fetal parts
- hCG levels <100,000 mIU/mL
- Pathology report confirming partial mole
Coding Notes
Ensure documentation specifies partial mole with supporting ultrasound and lab findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Delayed or excessive hemorrhage following ectopic and molar pregnancy
O08.1Genital tract and pelvic infection following ectopic and molar pregnancy
O08.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Molar Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O01.0.
Impact
Clinical: Inadequate information for future care planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Include detailed history with type and treatment of prior molar pregnancy., Use O09.A for supervision of pregnancy with history of molar pregnancy.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Avoid using Z3A codes with O00-O08 codes.
Impact
Reimbursement: Potential denial of claims due to lack of specificity., Compliance: Violation of coding specificity requirements., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Clearly document whether the mole is complete or partial.
Impact
Failure to specify complete or partial mole can lead to audit issues.
Mitigation Strategy
Ensure all documentation includes specific type of mole with supporting evidence.
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 Molar Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Molar Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Molar Pregnancy. These templates include all required elements for proper coding and billing.
Initial diagnosis of molar pregnancy
Specialty: ObstetricsRequired Elements
- Gestational age
- Ultrasound findings
- hCG levels
- Type of mole
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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