2025 ICD-10-CM code O09.811
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth, and the puerperium - Supervision of high-risk pregnancy Chapter 10: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Supervision of pregnancy resulting from assisted reproductive technology during the first trimester.
Modifiers may be applicable depending on the specific services rendered. Consult the appropriate coding guidelines for details.
The medical necessity for the supervision and management of pregnancies achieved via ART is supported by the increased risk of complications associated with these procedures, such as ectopic pregnancy, multiple gestation, and chromosomal abnormalities.These risks justify the need for close monitoring and preventative measures to achieve a successful pregnancy.
Obstetrician-gynecologist (OB-GYN) or other qualified healthcare professional managing high-risk pregnancies. Responsibilities include regular checkups, diagnostic testing, management of complications, and coordination of care with other specialists as needed.
- Chapter 10: Pregnancy, childbirth and the puerperium (O00-O9A)
- O09.81 (Supervision of pregnancy resulting from assisted reproductive technology)
In simple words: This code is used by doctors to track a pregnancy that started with fertility treatments like IVF.It's used only during the first three months of pregnancy and shows that the doctor is carefully watching the mother and baby to make sure everything is healthy.
This code is used to classify the supervision of a pregnancy conceived through assisted reproductive technology (ART) methods, specifically during the first trimester (less than 14 weeks 0 days gestation from the first day of the last menstrual period).It encompasses the ongoing monitoring and management of the pregnancy to ensure a healthy outcome for both mother and fetus. This includes but is not limited to, regular check-ups, ultrasound scans, blood tests, and management of any pregnancy-related complications.The code should only be used on the maternal record.
Example 1: A 35-year-old woman undergoing IVF treatment becomes pregnant.The OB-GYN uses O09.811 to code the regular prenatal visits and ultrasound scans during the first trimester.The patient had a history of multiple miscarriages., A 40-year-old woman who conceived via intracytoplasmic sperm injection (ICSI) is monitored closely for gestational diabetes, hypertension, and other high-risk conditions during the first trimester. O09.811 is used to bill for the prenatal care and management of these risk factors., A 28-year-old woman who used donor eggs through IVF becomes pregnant.O09.811 is used to code the management of her first-trimester pregnancy, including routine monitoring, blood work, and early ultrasound scans to assess fetal development.
* Detailed medical history of the patient, including information about ART procedures.* Documentation of all prenatal visits, including dates, findings, and interventions.* Results of all diagnostic tests (e.g., ultrasound, blood tests).* Notes on any complications encountered during the first trimester.* Documentation of communication with other healthcare professionals involved in the patient’s care.
** This code is used for the supervision of the pregnancy itself, not for the ART procedures.Separate codes are used to bill for the ART procedures.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Reproductive Endocrinology and Infertility
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center