Pregnant ICD-10-CM Codes
Looking for ICD-10 codes related to pregnancy? Check out this mini-guide to learn about the ICD-10 codes you can use and related clinical information.
Fact Checked by Nate Lacson.
What ICD-10 codes can be used for pregnancy?
There are several ICD-10 codes that you can use for pregnancy-related medical cases. Here are some of them:
- Z33.1
- This ICD-10 code stands for Pregnant state, incidental. This ICD-10 code is meant to be used only for females and cannot be used for non-female patients. This code is not considered to be acceptable as a principal diagnosis. This is because the ICD-10 code is only meant to be used after a principal code has been used as this code identifies that the patient happens to be pregnant, hence incidental.
- Z33.3
- This ICD-10 code stands for Pregnant state, gestational carrier. This ICD-10 code is similar to the previous one. It’s only meant for female patients, and it is only to be used to identify that a patient happens to be pregnant, and this person is the one carrying the pregnancy. They are the surrogate/carrier, not the parent. The intended parents are the mother and father who will raise the child.
- O00.209
- This ICD-10 code stands for Unspecified ovarian pregnancy without intrauterine pregnancy. This is meant to be used only for female patients confirmed to have an ovarian pregnancy, which is rare. This entails that the patient’s ovum was fertilized and implanted within the ovary.
- The unspecified means it isn’t known yet which ovary the pregnancy is located.
- Without intrauterine pregnancy means that the pregnancy is not located in the uterus, which is where the pregnancy should be. Pregnancies that occur anywhere else, like the ovaries, are considered ectopic pregnancies, which aren’t normal. These will not result in the birth of the child, and it can be life-threatening due to bleeding.
- O00.109
- This ICD-10 code stands for Unspecified tubal pregnancy without intrauterine pregnancy. It’s the same as O00.209, only this time, the pregnancy is in the fallopian tube. This is considered an ectopic pregnancy, which, again, doesn’t result in the birth of the child and can be life-threatening.
- O00.00
- This ICD-10 code stands for Abdominal pregnancy without intrauterine pregnancy. As with O00.209 and O00.109, this is an ectopic pregnancy.
Which of these pregnancy codes are billable?
All of them are billable codes and can be used to designate a patient for reimbursement purposes.
Clinical information
Pregnancy is the state in which a female carries a child in the womb/uterus. They usually carry a child for a little over nine months. This isn’t a disease, so there’s nothing to discuss about treatment other than giving birth to a child through methods like vaginal delivery and C-section.
There are problematic pregnancies, though, which we mentioned earlier: ectopic pregnancies. These are types of pregnancies that occur in other areas like fallopian tubes, ovaries, and the cervix. These pregnancies won’t result in the birth of a child because the pregnancy can’t proceed normally, and they can also threaten the life of the pregnant female.
To treat an ectopic pregnancy, one option is the use of methotrexate, which is a drug that prevents cells from growing and terminates the pregnancy. This can only be used if the pregnancy hasn’t ruptured the fallopian tubes. If the tubes have been ruptured, surgery with anesthesia is required (laparoscopy).
Synonyms include
- Miscarriage of tubal ectopic pregnancy
- Rupture of fallopian tube
- Ruptured ectopic pregnancy
- Ruptured tubal pregnancy
- Tubal pregnancy
- Unruptured tubal pregnancy
Commonly asked questions
Yes, the aforementioned codes are billable.
You can use any of the aforementioned codes so long as you can confirm the type of pregnancy they have.
Treatment for pregnancy will depend if it’s normal or an ectopic pregnancy. If it’s normal, well, then giving birth is the “treatment.” If it’s ectopic, then it can be treated using methotrexate or surgery.
