2025 ICD-10-CM code O99.32
Drug use complicating pregnancy, childbirth, and the puerperium. Use additional code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use.
Medical necessity is established by the presence of drug use during pregnancy, childbirth, or the puerperium, which poses a risk to both the mother and the fetus/newborn. Documentation must show how the patient’s condition affects the management of the pregnancy.
Obstetricians, Gynecologists, and other healthcare professionals involved in prenatal, childbirth, and postpartum care are responsible for accurately documenting and coding drug use during these periods.
- 15 Pregnancy, childbirth and the puerperium (O00-O9A)
- O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperiumO99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium O99.32 Drug use complicating pregnancy, childbirth, and the puerperium
In simple words: This code indicates drug use during pregnancy, childbirth, or the postpartum period, including illicit drugs, misuse of prescription drugs, and medication-assisted treatment.
Drug use complicating pregnancy, childbirth, and the puerperium. This code should be used on the maternal record, not the newborn's record.It encompasses illicit drug use (e.g., heroin, methamphetamines, cocaine), misuse or abuse of prescription medications, and medication-assisted treatment for opioid use disorder (e.g., buprenorphine, methadone). Use additional code(s) from categories F11-F16 and F18-F19 to identify specific manifestations of the drug use (e.g., opioid use disorder, opioid withdrawal). Use additional code from category Z3A to identify the specific week of pregnancy, if known.
Example 1: A 28-year-old woman in her third trimester presents for a prenatal checkup and admits to using heroin throughout her pregnancy.Code O99.323 (Drug use complicating pregnancy, third trimester) and F11.20 (Opioid use disorder, uncomplicated)., A 32-year-old woman gives birth and during the postpartum period discloses ongoing misuse of prescription benzodiazepines. Code O99.32 and F13.20 (Sedative, hypnotic, or anxiolytic use disorder, uncomplicated)., A pregnant 25-year-old woman is receiving medication-assisted treatment with buprenorphine for opioid use disorder. Code O99.32 and F11.20 (Opioid use disorder, uncomplicated) with additional code to specify trimester
Documentation should include the type of drug used, frequency of use, trimester of use, and any manifestations or complications related to drug use. Additional documentation regarding treatment received or offered should also be included in the record. If possible, urine drug screening results and DSM-5 criteria are beneficial for comprehensive assessment and diagnosis.
- Specialties:Obstetrics, Maternal-Fetal Medicine, Addiction Medicine, Family Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Outpatient Hospital, Public Health Clinic