2025 ICD-10-CM code O9A
(Active) Effective Date: N/A Pregnancy, childbirth and the puerperium - Other obstetric conditions, not elsewhere classified 15 Feed
Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium.
Medical necessity is established by the presence of a pre-existing condition that is complicating the pregnancy, childbirth, or puerperium. Documentation should support the need for additional care or treatment due to the complicating condition.
The physician's responsibility includes managing both the pregnancy and the complicating condition. This may require collaboration with other specialists depending on the specific condition.
In simple words: This code is used when a pregnant woman experiences complications due to pre-existing conditions like cancer, injuries, or abuse, which are made worse by the pregnancy, childbirth, or the postpartum period.
This code encompasses various maternal conditions, including malignant neoplasms, traumatic injuries, and abuse, that are classified elsewhere but complicate pregnancy, childbirth, or the puerperium.These conditions are not specific to the pregnancy but are affected by it.
Example 1: A pregnant woman in her second trimester with a history of breast cancer experiences an exacerbation of her cancer symptoms due to hormonal changes related to the pregnancy. The O9A code, along with the appropriate code for breast cancer, would be used., A pregnant woman is involved in a car accident and sustains injuries. The O9A code, along with the codes for the specific injuries, would be used. , A pregnant woman with a history of domestic abuse experiences increased stress and anxiety related to the pregnancy, exacerbating her mental health condition. The O9A code, along with the code for the mental health condition, would be used.
Documentation should clearly indicate the pre-existing condition, how it is complicating the pregnancy, childbirth, or puerperium, and the trimester of pregnancy.
** It's important to note that this code is for conditions that are classifiable elsewhere, meaning they have their own specific codes. O9A is used as a supplementary code to indicate the impact of the pre-existing condition on the pregnancy, childbirth, or puerperium.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Maternal-Fetal Medicine, Oncology, Trauma Surgery, Psychiatry
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office