ICD-10 Coding for Third Trimester Pregnancy(O14.03, O60.1X0)
Complete ICD-10-CM coding and documentation guide for Third Trimester Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Third Trimester Pregnancy
Supervision of high-risk pregnancy
Used for coding high-risk pregnancies during the third trimester.
O10-O16Primary Range
Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
Includes codes for hypertensive disorders specific to the third trimester.
Weeks of gestation
Used to specify the exact week of gestation during the third trimester.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O14.03 | Severe pre-eclampsia, third trimester | Use when severe pre-eclampsia is diagnosed in the third trimester. |
|
| O60.1X0 | Preterm labor with delivery in third trimester | Use when preterm labor results in delivery during the third 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 third trimester pregnancy
Essential facts and insights about Third Trimester Pregnancy
Primary ICD-10-CM Codes for third trimester pregnancy
Decision Criteria
clinical Criteria
- Presence of severe hypertension and proteinuria
documentation Criteria
- Gestational age documented as third trimester
Applicable To
- Severe pre-eclampsia with severe features
Excludes
- Mild pre-eclampsia (O14.03)
Clinical Validation Requirements
- BP ≥160/110 mmHg
- Proteinuria ≥5g/24h
- Thrombocytopenia <100K
Code-Specific Risks
- Misclassification of severity
- Omission of gestational age
Coding Notes
- Ensure documentation includes all clinical criteria for severe pre-eclampsia.
O60.1X0 - Preterm labor with delivery in third trimester
Use when preterm labor results in delivery during the third trimester.
Applicable To
- Preterm labor with delivery between 28 and 37 weeks
Excludes
- Preterm labor without delivery (O60.0X0)
Clinical Validation Requirements
- Cervical dilation ≥2cm
- Regular contractions
- Gestational age 28-36 6/7 weeks
Coding Notes
Ensure delivery is documented in the medical record.
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 Third Trimester Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O14.03.
Impact
Clinical: Inaccurate clinical data representation, Regulatory: Non-compliance with coding guidelines, Financial: Potential reimbursement issues
Mitigation Strategy
Verify gestational age before coding, Use trimester-specific codes
Impact
Reimbursement: Potential underpayment due to incomplete coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Always include the appropriate Z3A code to specify weeks of gestation.
Impact
Failure to document exact weeks of gestation can lead to audit findings.
Mitigation Strategy
Implement routine checks for gestational age documentation in patient records.
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 Third Trimester Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Third Trimester Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Third Trimester Pregnancy. These templates include all required elements for proper coding and billing.
Severe pre-eclampsia in third trimester
Specialty: ObstetricsRequired Elements
- Gestational age
- Blood pressure readings
- Proteinuria levels
- Thrombocytopenia status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Third Trimester Pregnancy? Ask your questions below.