2025 ICD-10-CM code O26.6
Liver and biliary tract disorders in pregnancy, childbirth, and the puerperium. Use additional code to identify the specific disorder.
No specific modifier rules mentioned in the ICD guidelines related to the given code. However, standard ICD modifiers may apply depending on the clinical scenario.
Medical necessity for O26.6 is established by the diagnosis of a liver or biliary tract disorder complicating or aggravated by pregnancy, childbirth or the puerperium.
The physician is responsible for identifying any liver or biliary tract disorders during pregnancy, childbirth and puerperium. They should perform the necessary diagnostic workup, determine the specific underlying disorder and provide/coordinate appropriate treatment. Additionally, the physician should document the trimester of pregnancy when the disorder occurred. They also must accurately identify whether the condition began during pregnancy, childbirth, or the puerperium when selecting ICD-10 codes.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- Other maternal disorders predominantly related to pregnancy (O20-O29)
In simple words: This code indicates a problem with the liver or bile ducts during pregnancy, labor and delivery or the period after delivery. A more specific code should be used to describe the actual liver or bile duct condition.
Liver and biliary tract disorders in pregnancy, childbirth and the puerperium.This code requires an additional code to specify the exact liver or biliary tract disorder.This code is used for maternal records only, not newborn records. The pregnancy, childbirth, or puerperium may cause or aggravate the condition.
Example 1: A woman in her second trimester of pregnancy develops intrahepatic cholestasis of pregnancy. The physician would use O26.6 along with the specific code for intrahepatic cholestasis of pregnancy (K83.1)., A woman experiences acute cholecystitis a week after delivery. In this case, O26.6 is used with the code for acute cholecystitis (K81.0)., A patient develops gallstones during her third trimester of pregnancy. The physician would use O26.6 and the code for gallstones (K80.-) with the appropriate 5th character specifying the type of gallstone.
Documentation should include: diagnosis, trimester of pregnancy at onset (if applicable), signs/symptoms, laboratory findings, imaging results, treatment provided and medical necessity for services.
** Excludes1: supervision of normal pregnancy (Z34.-), Excludes2: mental and behavioral disorders associated with the puerperium (F53.-) obstetrical tetanus (A34), postpartum necrosis of pituitary gland (E23.0), puerperal osteomalacia (M83.0), hepatorenal syndrome following labor and delivery (O90.41). Remember to code the specific underlying liver or biliary tract disease in addition to this code.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Hepatology, Gastroenterology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office