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2025 ICD-10-CM code O30.00

Twin pregnancy with an unspecified number of placentas and amniotic sacs.

This code should only be used on the maternal record and never on the newborn record. An additional code from category Z3A (Weeks of gestation) should be used to specify the week of the pregnancy if known.

The medical necessity for the use of this code is the presence of a twin pregnancy.

The healthcare provider is responsible for documenting the twin pregnancy and performing all necessary prenatal care specific to multiple gestations.

In simple words: A pregnant woman is carrying twins, but it's unknown whether they share a placenta or amniotic sac.

This code describes a pregnancy with two fetuses, where the number of placentas and amniotic sacs is not specified in the medical documentation.It is used for maternal records only, not for newborn records.

Example 1: A woman presents for her first prenatal visit. Ultrasound confirms a twin pregnancy, but the number of placentas and sacs cannot be clearly visualized yet. O30.00 is used until further information is available., A woman with a confirmed twin pregnancy is admitted for preterm labor.The medical record mentions twins but does not specify the number of placentas or amniotic sacs.O30.00 is applied., A patient experiences a miscarriage of twins in the first trimester.The pathology report does not specify the number of placentas or sacs.O30.00 is assigned.

Documentation should include the confirmation of a twin pregnancy. Although the code doesn't require specificity about the number of placentas and amniotic sacs, it's best practice to document this information if available. Also, the trimester of the pregnancy and any complications should be noted.

** If more details about the placentas and amniotic sacs become available later in the pregnancy, the code should be updated accordingly. This code takes precedence over codes from other chapters, except when an unrelated condition is the primary reason for the encounter.

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