2025 ICD-10-CM code O9A.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Other obstetric conditions, not elsewhere classified (O94-O9A) Chapter 18: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Psychological abuse complicating pregnancy, childbirth, and the puerperium.
Modifiers may apply depending on the circumstances of the encounter and the services provided.Consultation with coding experts is recommended for proper modifier application.
Medical necessity is established through documentation showing a direct link between the psychological abuse and the patient's mental and physical health, and that the abuse caused or aggravated a pregnancy, childbirth, or postpartum condition that requires treatment.
Obstetrician-gynecologist, psychiatrist, or other relevant specialist depending on the severity and nature of the psychological abuse and any resulting complications.
- Chapter 18: Pregnancy, childbirth and the puerperium (O00-O9A)
- O9A: Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
In simple words: This code is for when a pregnant woman, a woman giving birth, or a woman after giving birth experiences emotional or psychological harm due to abuse. This code is only for the mother's medical records, not the baby's.
This code classifies psychological abuse that complicates pregnancy, childbirth, or the puerperium.It is used only for maternal records and should not be used for newborn records.Conditions should be related to or aggravated by pregnancy, childbirth, or the puerperium.Additional codes may be used from category Z3A (Weeks of gestation) to specify the week of pregnancy, if known.Additional codes from Y07.- may be used to identify the perpetrator.
Example 1: A pregnant woman experiences severe anxiety and depression due to verbal abuse and threats from her partner. This causes complications such as pre-eclampsia., A postpartum woman suffers from PTSD after experiencing emotional manipulation and control from a family member during and after her pregnancy., A pregnant woman is subjected to cyberbullying that results in significant psychological distress, impacting her health and the health of her pregnancy.
Detailed documentation should include a thorough history of the abuse, including the type of abuse, frequency, duration, and the impact on the patient's mental and physical health.Documentation should also include any resulting medical or psychological diagnoses or complications.
** This code is used to capture the impact of psychological abuse on maternal health during pregnancy, childbirth, and the postpartum period.It is essential to accurately document the type of abuse and the resulting complications to ensure appropriate coding and reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics and Gynecology, Psychiatry
- Place of Service:Office, Hospital (Inpatient or Outpatient), Mental Health Facility