Pregnancy, childbirth and the puerperium

Excludes1 — never code together

The conditions below can never be reported together with this code on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

• supervision of normal pregnancy (Z34.-)

Use additional code

Report an additional code alongside this code to fully describe the condition. this code is sequenced first.

• code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Excludes2 — not included here

The conditions below are not part of this code, but a patient may have both at the same time. When documentation supports it, this code and the excluded code may both be reported.

• mental and behavioral disorders associated with the puerperium (F53.-)
• obstetrical tetanus (A34)
• postpartum necrosis of pituitary gland (E23.0)
• puerperal osteomalacia (M83.0)

Note

• CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
• Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
• Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
• 1st trimester- less than 14 weeks 0 days
• 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
• 3rd trimester- 28 weeks 0 days until delivery