ICD-10 Coding for Rhesus Factor Negative in Pregnancy(O36.019-, Z31.82)
Complete ICD-10-CM coding and documentation guide for Rhesus Factor Negative in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Rhesus Factor Negative in Pregnancy
O36.0Primary Range
Maternal care for rhesus isoimmunization
Used for cases where there is active isoimmunization in Rh-negative pregnancies.
Encounter for Rh incompatibility status
Used for encounters specifically addressing Rh status without isoimmunization.
Encounter for prophylactic administration of Rho(D) immune globulin
Used when Rhogam is administered prophylactically.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O36.019- | Maternal care for rhesus isoimmunization, unspecified trimester | Use when there is confirmed isoimmunization in an Rh-negative pregnant patient. |
|
| Z31.82 | Encounter for Rh incompatibility status | Use for routine prenatal visits addressing Rh status without isoimmunization. |
|
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 Rh-negative pregnancy
Essential facts and insights about Rhesus Factor Negative in Pregnancy
Primary ICD-10-CM Codes for rhesus factor negative in pregnancy
Decision Criteria
clinical Criteria
- Presence of anti-D antibodies
documentation Criteria
- Documented fetal monitoring for anemia
Applicable To
- Active isoimmunization management
Excludes
- Prophylactic Rhogam administration without isoimmunization
Clinical Validation Requirements
- Positive anti-D antibodies
- Fetal anemia detected via MCA Doppler
Code-Specific Risks
- Incorrectly using for prophylactic Rhogam administration
Coding Notes
- Ensure documentation specifies isoimmunization and gestational age.
Z31.82 - Encounter for Rh incompatibility status
Use for routine prenatal visits addressing Rh status without isoimmunization.
Applicable To
- Rh status management without isoimmunization
Excludes
- Active isoimmunization
Clinical Validation Requirements
- Negative anti-D antibody screen
Coding Notes
Ensure Rh status is the primary focus of the encounter.
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 Rhesus Factor Negative in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O36.019-.
Impact
Clinical: Inaccurate clinical picture of pregnancy stage., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Always include Z3A codes with pregnancy-related codes.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use Z31.82 for Rh status management without isoimmunization.
Impact
Using O36 codes without confirmed isoimmunization can lead to audit issues.
Mitigation Strategy
Verify antibody presence before coding.
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 Rhesus Factor Negative in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Rhesus Factor Negative in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Rhesus Factor Negative in Pregnancy. These templates include all required elements for proper coding and billing.
Routine prenatal visit for Rh-negative patient
Specialty: ObstetricsRequired Elements
- Rh status
- Antibody screen results
- Gestational age
- Prophylactic Rhogam administration
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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