2025 ICD-10-CM code Z39
Encounter for maternal postpartum care and examination.
Medical necessity for the postpartum encounter is established by the need to assess the mother's recovery from childbirth, address any complications, and provide guidance on newborn care and breastfeeding.
The physician is responsible for performing a postpartum evaluation and providing appropriate care, including addressing any complications and providing guidance on breastfeeding and newborn care. The physician should also document the findings of the examination, any diagnoses, and the plan of care.
In simple words: This code is used for a visit to a healthcare provider for routine care and check-ups after giving birth. It also covers check-ups related to breastfeeding.
This code is used for encounters for maternal postpartum care and examination.This includes routine postpartum follow-up and care and examination of the lactating mother.
Example 1: A woman presents for a routine postpartum checkup six weeks after delivery. The physician performs a physical exam, assesses her recovery, and addresses any concerns., A breastfeeding mother presents with concerns about milk production. The physician evaluates the baby's latch and provides guidance on increasing milk supply., A woman who delivered at home presents to the hospital for a postpartum checkup. The physician assesses her condition and monitors for any complications.
Documentation should include the date of the encounter, the patient's postpartum status, details of the physical examination, any diagnoses or problems addressed, and the plan of care. For lactating mothers, documentation should include information about breastfeeding practices and any related issues or interventions.
- Specialties:Obstetrics and Gynecology, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Home