Complete ICD-10-CM coding and documentation guide for Large for Gestational Age (LGA). Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to Large for Gestational Age (LGA)
Maternal care for excessive fetal growth
Primary range for coding excessive fetal growth based on trimester
Compare key differences between these codes to ensure accurate selection
Code | Description | When to Use | Key Documentation |
---|---|---|---|
O36.60X0 | Maternal care for excessive fetal growth, unspecified trimester | Use when excessive fetal growth is identified without specifying the trimester |
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O36.63X0 | Maternal care for excessive fetal growth, third trimester | Use when excessive fetal growth is identified in the third trimester |
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Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Essential facts and insights about Large for Gestational Age (LGA)
Use when excessive fetal growth is identified in the third trimester
Ensure documentation specifies EFW >90th percentile in the third trimester
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Weeks of gestation
Z3A.XXAlternative codes to consider when ruling out similar conditions to the primary diagnosis.
Uterine size-date discrepancy
O26.84-Avoid these common documentation and coding issues when documenting Large for Gestational Age (LGA) to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O36.60X0.
Clinical: Inaccurate clinical data, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Verify trimester before coding, Use trimester-specific codes
Reimbursement: Incorrect coding may lead to claim denials, Compliance: Non-compliance with ICD-10 guidelines, Data Quality: Inaccurate clinical data representation
Use O36.6 codes for excessive fetal growth based on trimester
Failure to sequence diabetes before LGA when related
Educate coders on sequencing rules
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.
Common questions about ICD-10 coding for Large for Gestational Age (LGA), with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for Large for Gestational Age (LGA). These templates include all required elements for proper coding and billing.
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