2025 ICD-10-CM code O9A.3
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Other obstetric conditions, not elsewhere classified Chapter 18: Pregnancy, childbirth and the puerperium Feed
Physical abuse complicating pregnancy, childbirth, and the puerperium.
Medical necessity for treatment is established by the presence of physical injuries directly resulting from the abuse and the need for medical intervention to address these injuries.This includes but isn't limited to treatment for pain management, wound care, and other necessary procedures.Documentation of abuse is crucial for establishing medical necessity.
Obstetricians, gynecologists, family physicians, and other healthcare professionals involved in prenatal, intrapartum, and postpartum care should document and code this condition when applicable.Social workers and other relevant specialists may also contribute to assessment and care.
- Chapter 18: Pregnancy, childbirth and the puerperium
- O9A - Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
In simple words: This code is used when a pregnant woman, a woman giving birth, or a new mother is hurt because of physical abuse.Other codes might be used to describe the injuries or who caused the abuse.
This code classifies instances where physical abuse affects a pregnant individual, during childbirth, or in the postpartum period.It is crucial to differentiate this from other conditions that may overlap, and additional codes should be utilized as needed to specify associated injuries (using codes from category T74.11 or T76.11) or the perpetrator of the abuse (using codes from category Y07.-). This code is exclusively applied to maternal records and should not be used in newborn records.Excludes sexual abuse (O9A.4).
Example 1: A 25-year-old pregnant woman is admitted to the hospital with bruises and contusions consistent with physical abuse. She reports being assaulted by her partner.O9A.3 is coded, along with codes specifying the injuries sustained and possibly codes to identify the perpetrator of the abuse., A 30-year-old postpartum woman presents to her physician with injuries indicative of physical assault. She reports domestic violence. O9A.3 is coded along with the appropriate injury codes., A 35-year-old woman in labor experiences complications due to injuries sustained from physical abuse.O9A.3 is coded along with additional codes to reflect both the abuse and the obstetric complications encountered.
Detailed documentation of the abuse, including the nature of the injuries, the alleged perpetrator, and any other relevant information.Medical records should include photographic documentation if available and appropriate.Social work assessments may be integral parts of the record.
** This code is part of a broader category encompassing other obstetric conditions.Accurate coding requires careful consideration of the specific circumstances and the need for additional codes to completely describe the case.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Family Medicine, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Emergency Room