ICD-10 Coding for Pregnancy Complicated by ADHD(O99.34, F90.0)
Complete ICD-10-CM coding and documentation guide for Pregnancy Complicated by ADHD. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pregnancy Complicated by ADHD
O99.3-O99.34Primary Range
Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium
This range includes codes for mental disorders complicating pregnancy, with O99.34 specifically for other mental disorders like ADHD.
Attention-deficit hyperactivity disorders
This range includes specific codes for different types of ADHD, which are used as secondary codes to specify the type of ADHD complicating 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 |
|---|---|---|---|
| O99.34 | Other mental disorders complicating pregnancy, childbirth and the puerperium | Use when ADHD symptoms complicate the management of pregnancy. |
|
| F90.0 | Attention-deficit hyperactivity disorder, predominantly inattentive type | Use as a secondary code to specify the type of ADHD complicating pregnancy. |
|
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 pregnancy complicated by ADHD
Essential facts and insights about Pregnancy Complicated by ADHD
Primary ICD-10-CM Codes for pregnancy complicated by adhd
Decision Criteria
clinical Criteria
- ADHD symptoms are affecting pregnancy management.
documentation Criteria
- Provider notes ADHD's impact on prenatal care adherence.
Applicable To
- ADHD complicating pregnancy
Excludes
- Mental disorders due to known physiological condition (F06.-)
Clinical Validation Requirements
- Documentation of ADHD impacting prenatal care, labor planning, or postpartum recovery
- Evidence of ADHD symptoms exacerbating pregnancy management
Code-Specific Risks
- Incorrectly using this code without evidence of impact on pregnancy management.
Coding Notes
- Ensure ADHD is documented as complicating pregnancy to justify the use of O99.34.
F90.0 - Attention-deficit hyperactivity disorder, predominantly inattentive type
Use as a secondary code to specify the type of ADHD complicating pregnancy.
Applicable To
- ADHD, inattentive type
Excludes
- Hyperkinetic conduct disorder (F91.8)
Clinical Validation Requirements
- Diagnosis of ADHD, inattentive type, per DSM-5 criteria
- Documentation of inattentive symptoms affecting daily functioning
Coding Notes
Ensure the ADHD subtype is clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Weeks of gestation
Z3A.xxDifferential 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 Pregnancy Complicated by ADHD to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.34.
Impact
Clinical: May lead to inadequate care planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or audits.
Mitigation Strategy
Educate providers on documentation standards., Implement checklist for ADHD impact on pregnancy.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data on pregnancy complications.
Mitigation Strategy
Use O99.34 when ADHD affects pregnancy management.
Impact
Using F90.x as primary instead of O99.34.
Mitigation Strategy
Educate coders on sequencing rules for pregnancy complications.
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 Pregnancy Complicated by ADHD, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pregnancy Complicated by ADHD
Use these documentation templates to ensure complete and accurate documentation for Pregnancy Complicated by ADHD. These templates include all required elements for proper coding and billing.
Pregnancy with ADHD affecting prenatal care
Specialty: ObstetricsRequired Elements
- ADHD subtype
- Impact on prenatal care
- Medication management
- Support systems
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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