ICD-10 Coding for Second Trimester Pregnancy(O9A.212, O26.12)
Complete ICD-10-CM coding and documentation guide for Second Trimester Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Second Trimester 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 |
|---|---|---|---|
| O9A.212 | Injury complicating pregnancy, second trimester | Use when an injury occurs during the second trimester and complicates the pregnancy. |
|
| O26.12 | Low weight gain in pregnancy, second trimester | Use when weight gain is below expected levels during the second trimester. |
|
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 second trimester pregnancy complications
Essential facts and insights about Second Trimester Pregnancy
Primary ICD-10-CM Codes for second trimester pregnancy
Decision Criteria
clinical Criteria
- Injury must be documented as complicating the pregnancy.
documentation Criteria
- Gestational age must be specified.
Applicable To
- Injury during second trimester
Excludes
- Injury in first trimester
- Injury in third trimester
Clinical Validation Requirements
- Documentation of the injury and its impact on pregnancy
- Gestational age confirmation
Code-Specific Risks
- Incorrect trimester documentation
- Missing external cause code
Coding Notes
- Ensure the injury is directly related to and complicates the pregnancy.
O26.12 - Low weight gain in pregnancy, second trimester
Use when weight gain is below expected levels during the second trimester.
Applicable To
- Low weight gain during second trimester
Excludes
- Low weight gain in first trimester
- Low weight gain in third trimester
Clinical Validation Requirements
- Documented weight gain below recommended levels for gestational age
- Pre-pregnancy BMI documentation
Coding Notes
Ensure weight gain is tracked and documented accurately.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fall on same level from slipping, tripping and stumbling
W00.0XXADifferential 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 Second Trimester Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O9A.212.
Impact
Clinical: Incomplete clinical picture of the incident., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials or delays.
Mitigation Strategy
Always include an external cause code when applicable., Review coding guidelines for injury-related codes.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Verify gestational age and use the correct trimester code.
Impact
Incorrect documentation of gestational age can lead to audit issues.
Mitigation Strategy
Implement a verification process for gestational age documentation.
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 Second Trimester Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Second Trimester Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Second Trimester Pregnancy. These templates include all required elements for proper coding and billing.
Injury during second trimester
Specialty: ObstetricsRequired Elements
- Gestational age
- Description of injury
- Impact on pregnancy
- External cause
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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