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2025 ICD-10-CM code O98.0

Tuberculosis complicating pregnancy, childbirth, and the puerperium.

This code should only be used on the maternal record, never on the newborn record. An additional code from category Z3A, Weeks of gestation, should be used to identify the specific week of the pregnancy, if known.Also, code the underlying tuberculosis infection using a code from category A15-A19.

Medical necessity is established by the presence of active tuberculosis in a pregnant woman.Treatment is necessary to prevent serious health consequences for the mother and to minimize the risk of transmission to the fetus or newborn.

The physician is responsible for diagnosing and managing both the pregnancy and the tuberculosis infection.This includes ordering appropriate tests, prescribing medications that are safe for both mother and fetus, and monitoring for potential complications.

In simple words: This code signifies that a pregnant woman has tuberculosis, and this condition is affecting her pregnancy.

This code indicates that the patient has tuberculosis (TB) that is either complicating the pregnancy, is aggravated by the pregnancy, or is the reason for obstetric care.

Example 1: A woman in her second trimester presents with a persistent cough, fever, and night sweats. She is diagnosed with active pulmonary tuberculosis and requires treatment throughout the remainder of her pregnancy., A pregnant woman with a history of latent tuberculosis experiences reactivation of the infection during the postpartum period. She requires treatment to prevent transmission to her newborn and other close contacts., A woman with active tuberculosis is receiving treatment and becomes pregnant.Her treatment regimen needs to be adjusted to ensure the safety of the developing fetus while effectively managing the infection.

Documentation should include confirmation of the tuberculosis diagnosis (e.g., positive sputum culture, chest X-ray findings), details about the stage and location of the infection, and how the infection is affecting the pregnancy.The treatment plan and the patient's response to treatment should also be documented.

** Conditions excluded from this code include obstetrical tetanus (A34), postpartum necrosis of pituitary gland (E23.0), puerperal osteomalacia (M83.0), supervision of normal pregnancy (Z34.-), mental and behavioral disorders associated with the puerperium (F53.-), herpes gestationis (O26.4-), infectious carrier state (O99.82-, O99.83-), puerperal infection (O86.-), puerperal sepsis (O85), and when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36).

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