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2025 ICD-10-CM code Z33.3

Pregnant state, gestational carrier. This code excludes encounters for procreative management and counseling for gestational carriers (Z31.7).

A corresponding procedure code must accompany a Z code if a procedure is performed. Code Z33.3 should not be used for encounters related to procreative management and counseling for the gestational carrier; Z31.7 should be used instead.

The medical necessity for the use of Z33.3 is established by the fact that the patient is pregnant and carrying the baby for another person or couple. The code is used to track gestational carrier pregnancies for statistical and public health purposes.

The provider is responsible for documenting the pregnancy status of the gestational carrier and providing appropriate prenatal care.This includes regular check-ups, monitoring the health of both the carrier and the fetus, and addressing any complications that may arise.

IMPORTANT:Excludes1: encounter for procreative management and counseling for gestational carrier (Z31.7)

In simple words: This code indicates that a woman is pregnant and carrying the baby for someone else.She is not the biological mother of the baby.

This code is used to document a pregnant state in a gestational carrier. A gestational carrier is a woman who carries a pregnancy for another person or couple, and the pregnancy is established through assisted reproductive technology. The gestational carrier has no genetic relationship to the embryo.

Example 1: A woman presents to her obstetrician for her first prenatal visit. She is carrying a pregnancy as a gestational carrier. The pregnancy was established through in vitro fertilization.Code Z33.3 is used to document her pregnant state., A gestational carrier presents to the emergency department with abdominal pain.The physician determines that she is experiencing Braxton Hicks contractions. The appropriate code for her pregnancy status is Z33.3., A gestational carrier goes into labor and delivers a healthy baby at 39 weeks gestation. Code Z33.3 is used to document her pregnant state throughout the pregnancy.

Documentation should clearly state that the patient is a gestational carrier and describe the circumstances of the pregnancy. The method of conception (e.g., IVF) should be noted.Standard prenatal records, including the estimated date of delivery, should also be maintained.

** It is important to distinguish between a gestational carrier (Z33.3) and a surrogate (Z31.83). A surrogate is both the genetic and gestational mother of the child, while a gestational carrier has no genetic relationship with the embryo.

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