2025 ICD-10-CM code Z03.79
Encounter for other suspected maternal and fetal conditions ruled out.
Medical necessity for this code is established by the presence of a suspected maternal or fetal condition warranting medical observation and diagnostic testing to exclude the presence of the suspected condition(s).The medical necessity should be documented clearly in the patient's chart.
The clinical responsibility lies with the healthcare professional who performs the examinations and interprets the results to rule out the suspected maternal and fetal conditions. This typically involves obstetricians, maternal-fetal medicine specialists, or other relevant healthcare professionals.
- Chapter 21: Factors influencing health status and contact with health services
- Z03.7 Encounter for suspected maternal and fetal conditions ruled out
In simple words: This code is used when a pregnant person or a newborn baby has tests to check for potential problems with the pregnancy or the baby.If the tests show that there are no problems, this code is used to record the visit.
This code is used to classify an encounter for medical observation where suspected maternal and fetal conditions were investigated but ultimately ruled out.It applies to situations where a pregnant woman or newborn undergoes examinations or tests to assess for potential maternal or fetal problems, and those problems are subsequently determined not to exist.
Example 1: A pregnant woman presents with vaginal bleeding.Ultrasound and other tests are performed to rule out placental abruption, previa, or other causes.All tests are negative, and the bleeding is determined to be of unknown origin but not clinically significant.Z03.79 is assigned., A newborn baby is observed for 24 hours in the hospital following birth due to initial concerns of respiratory distress.After observation and further testing, the respiratory issues resolve, and the newborn's condition is determined to be stable and normal.Z03.79 is assigned., A pregnant patient presents with concerns about fetal movement.Non-stress testing and ultrasound are performed to rule out fetal distress or growth restriction.The results show normal fetal activity and growth.Z03.79 is used to code the encounter.
Detailed documentation should include the reason for the encounter,results of all examinations and tests performed to rule out the suspected conditions, and the physician's conclusion that the conditions were indeed ruled out.This might include notes on the patient's medical history, findings from physical exams, laboratory results (if applicable), ultrasound reports, and the physician's assessment.
** This code is often used in conjunction with other codes that describe the specific tests or procedures performed during the encounter.
- Payment Status: Active
- Specialties:Obstetrics, Gynecology, Neonatology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Birthing Center