2025 ICD-10-CM code O09.813
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Supervision of high-risk pregnancy Chapter 15: Pregnancy, childbirth and the puerperium Feed
Supervision of pregnancy resulting from assisted reproductive technology during the third trimester.
Modifiers may be applicable depending on the circumstances of the visit and the services provided. Consult the appropriate guidelines.
Medical necessity for the supervision of a high-risk pregnancy established through ART is supported by the increased risk of complications during pregnancy and delivery.These risks can include preterm labor, preeclampsia, gestational diabetes, and multiple gestation.
The clinical responsibility for this code falls on the obstetrician or other qualified healthcare professional providing prenatal care to high-risk pregnancies resulting from assisted reproductive technologies.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O09.81 (Supervision of pregnancy resulting from assisted reproductive technology)
In simple words: This code is for a doctor's visits to check on a pregnancy that started with help from fertility treatments, like IVF. This is for the last part of the pregnancy (after 28 weeks).
This code is used to classify the supervision of a pregnancy conceived through assisted reproductive technology (ART), specifically during the third trimester (28 weeks 0 days gestation until delivery).It is exclusively for maternal records and should not be used for newborn records.The code should only be applied to conditions related to or aggravated by pregnancy, childbirth, or the puerperium.Excludes gestational carrier status (Z33.3).
Example 1: A 35-year-old woman undergoing IVF treatment presents for her routine third-trimester checkup.She has experienced some minor complications such as gestational diabetes that are being closely monitored., A 40-year-old patient with a history of multiple miscarriages and undergoing in-vitro fertilization (IVF) is at 32 weeks gestation. She has been under close observation for preeclampsia. The physician conducts a detailed examination assessing blood pressure, proteinuria, and fetal well-being., A patient conceived through intracytoplasmic sperm injection (ICSI) is experiencing preterm labor at 34 weeks gestation and presents for urgent assessment and management.The physician monitors fetal heart rate, performs a cervical exam, and administers tocolytics to arrest labor.
Complete medical record documenting the pregnancy history, including ART details, gestational age (confirmed by ultrasound), physical examination findings, laboratory test results (e.g., blood pressure, urinalysis, blood glucose levels), fetal monitoring data, and any complications or interventions.
** This code should only be used when the pregnancy is the result of assisted reproductive technology.Always confirm the gestational age and document any relevant complications.
- Revenue Code: Revenue codes will vary depending on the payer and the specific services provided.Consult your payer's guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement is determined by the procedures and services provided, which would be coded with CPT or HCPCS codes.The RVUs for those codes would then determine the reimbursement amount.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Obstetrics and Gynecology, Reproductive Endocrinology and Infertility
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center