2025 ICD-10-CM code Z34.0
Encounter for supervision of normal first pregnancy.
No modifiers are applicable to this code.
Medical necessity for routine prenatal care is established by the pregnancy itself.
The physician is responsible for monitoring the overall health of the mother and the developing fetus, providing prenatal care, ordering necessary tests, and advising on healthy pregnancy practices.
In simple words: This code is used when a pregnant woman visits a doctor or other healthcare provider for her first pregnancy checkup and everything is normal.
This code is used for encounters with a healthcare provider for the supervision of a normal first pregnancy, when no complications are present.
Example 1: A woman in her first pregnancy visits her obstetrician for a routine prenatal checkup at 10 weeks gestation. The pregnancy is progressing normally. Z34.01 would be used for the first trimester. , A pregnant woman in her first trimester has a healthy, uncomplicated ultrasound at 12 weeks.Z34.01 is the appropriate code. , A woman visits a midwife for prenatal care. This is her first pregnancy and she is 20 weeks along. All observations indicate a normal healthy pregnancy. Z34.02 would be used for the second trimester.
Documentation should support a normal pregnancy without any complications.The trimester should be documented to further specify with Z34.01, Z34.02, or Z34.03.
- Payment Status: Active
- Modifier TC rule: No TC modifier applies to this code.
- Specialties:Obstetrics, Family Medicine, Midwifery
- Place of Service:Office, Outpatient Hospital