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2025 ICD-10-CM code Z38.3

Twin liveborn infant, born in hospital.

This code is to be used only on the initial birth record of the newborn infants. A procedure code describing the type of delivery is required.

Z codes are used to document encounters with healthcare services. The medical necessity is established by the reason for the encounter (e.g. a delivery in the case of Z38.3).There might be additional diagnoses to describe any complications during the birth.Additional procedure codes for the type of delivery must be documented.

This code is used by healthcare providers documenting the birth of infants.

In simple words: This code indicates that twins were born alive in a hospital.

This code is used to document a live birth of twins in a hospital setting.It is used only on the initial birth record of the newborn infants, not on the mother's record.

Example 1: A mother gives birth to live twins in the delivery room of a hospital.The code Z38.3 would be used on the newborns' initial birth records., Twins are delivered via cesarean section in a hospital.Z38.3 is recorded on the babies' birth certificates., Following a complicated delivery resulting in the live birth of twins in a hospital setting, Z38.3 is used to document the births on the infants' records.

Documentation should support that a live birth of twins occurred within a hospital setting. No other specific documentation guidelines are given for Z codes.

** This code is specifically for live births.Different codes exist for other birth outcomes like stillbirths.Additional codes should be used to describe the delivery itself and any complications or health issues.

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