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2025 ICD-10-CM code O9A.2

Injury, poisoning, or other external cause complications during pregnancy, childbirth, or the puerperium.

Additional codes from other chapters should be used to fully describe the injuries or poisonings and any related conditions.Always sequence O9A.2 first followed by the codes for the injury/poisoning and any complications.

Modifiers may be applicable depending on the specific circumstances of the case (e.g., place of service, type of provider).

Medical necessity is established based on the severity of the injury, the gestational age, and the potential risk to the mother and the fetus or newborn. Appropriate documentation is essential to justify the medical necessity for any treatment or procedures.

Obstetricians, emergency medicine physicians, and other relevant specialists manage patients with conditions coded under O9A.2. Their responsibilities include diagnosis, treatment of injuries, managing complications from the injury or poisoning, and ensuring the well-being of both the mother and the fetus or newborn.

IMPORTANT O9A.3 (Physical abuse), O9A.4 (Sexual abuse), and O9A.5 (Psychological abuse) are used for specific types of abuse complicating pregnancy, childbirth, or the puerperium.Additional codes from chapters S00-T88 (except T74 and T76) are required to specify the injury or poisoning.

In simple words: This code is used when a pregnant woman or a woman who recently gave birth has an injury, poisoning, or other problem caused by something outside her body that affects her pregnancy or recovery.This could include things like a car accident or exposure to a harmful substance.Other codes are used to specify the exact injury or poisoning.

This code classifies injuries, poisonings, and other consequences of external causes that complicate pregnancy, childbirth, or the puerperium.It encompasses a broad range of events, excluding specifically defined categories like physical, sexual, or psychological abuse (coded separately under O9A.3, O9A.4, and O9A.5 respectively).Additional codes should be used to specify the injury or poisoning itself. The code should be sequenced first, followed by the injury or poisoning code, and then any additional codes specifying the condition caused by the external factor. This code is exclusively for maternal records; it should never be used on newborn records.

Example 1: A pregnant woman is involved in a motor vehicle accident (MVA) resulting in a fractured femur (S72.00XA).O9A.2 would be the principal diagnosis, followed by S72.00XA to specify the injury.Further codes may be needed depending on other injuries or complications., A postpartum woman experiences toxic effects from accidental ingestion of medication (T36.0X1A). O9A.2 would be coded, followed by T36.0X1A, and additional codes as needed to reflect further consequences., A woman in her third trimester suffers burns (T20-T25) in a house fire. O9A.2 would be the principal diagnosis, followed by codes indicating the type and extent of the burns, and further codes for any complications from the burns.

Detailed documentation should include the circumstances of the injury or poisoning, the mechanism of injury, the specific injuries sustained, the gestational age at the time of the event, the treatment rendered, and any complications.

** This code is critical for injury surveillance in pregnant and postpartum women. Accurate coding is essential for tracking injury-related morbidity and mortality in this vulnerable population.

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