2025 ICD-10-CM code O31.8X92
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Maternal care related to the fetus and amniotic cavity and possible delivery problems - Other complications specific to multiple gestation Chapter 15: Pregnancy, childbirth and the puerperium Feed
Other complications specific to multiple gestation, unspecified trimester, fetus 2.
Not applicable to ICD-10 codes. Modifiers are used with CPT and HCPCS codes.
Medical necessity is established by the presence of complications affecting the second fetus, requiring interventions and close monitoring by medical professionals. This might include, but is not limited to, situations where the second fetus is at risk, impacting the mother's health, or requiring specialized care.
The clinical responsibility lies with the obstetrician or other healthcare professional managing the pregnancy. This includes diagnosis, monitoring, and management of any complications arising from the multiple gestation.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O31-O48 (Maternal care related to the fetus and amniotic cavity and possible delivery problems)
In simple words: This code is for problems that happen during a pregnancy with more than one baby (twins, triplets, etc.) that affect the second baby.The doctor will use this code when the exact time in the pregnancy (trimester) is unknown.
This ICD-10-CM code classifies other complications that arise specifically in pregnancies involving multiple fetuses (twins, triplets, etc.).The trimester is unspecified, and the code specifically refers to complications affecting the second fetus.This code is for use only on the maternal record and should not be used for the newborn.
Example 1: A pregnant woman carrying twins is diagnosed with twin-to-twin transfusion syndrome affecting the second twin.The trimester is unknown., A woman with a triplet pregnancy experiences preeclampsia affecting the second fetus, and the exact gestational age is uncertain., During a routine checkup, a pregnant patient with twins shows signs of selective intrauterine growth restriction in the second twin. The gestational age is unknown at this point.
Complete obstetrical history, including prenatal care records, ultrasound reports (showing fetal growth and placental details),laboratory test results (showing evidence of complications), and detailed clinical notes documenting the complications experienced by the second fetus.
** This code is exclusively for maternal records and should never be used on newborn records.Always ensure the appropriate level of detail is applied when considering other codes for the overall pregnancy and the individual fetuses.Proper documentation is key to accurate coding.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.Consult your payer's specific guidelines for appropriate revenue codes.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures and services provided, which would use CPT or HCPCS codes that have associated RVUs.
- Global Days: Not applicable. Global periods are relevant for procedural codes (CPT/HCPCS) rather than diagnostic codes (ICD-10).
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.TC modifiers are used with CPT and HCPCS codes to specify the technical and professional components of a procedure.
- Fee Schedule: Not applicable.Fee schedules relate to CPT/HCPCS codes and not diagnostic codes such as ICD-10.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Birthing Center