2025 ICD-10-CM code Z3A.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons encountering health services in circumstances related to reproduction Chapter 21: Factors Influencing Health Status and Contact with Health Services Feed
Weeks of gestation of pregnancy, weeks 20-29.
Modifiers may be used depending on the circumstances of the encounter and any procedures performed (e.g., place of service, anesthesia modifiers). Refer to specific procedural code requirements.
Medical necessity is established by the need for routine prenatal care or management of pregnancy-related complications during the 20-29 week gestational period.This includes monitoring the mother's health, assessing fetal growth and development, and addressing any pregnancy-related concerns.
Obstetrician-gynecologist or other qualified healthcare professional providing prenatal care.
- Chapter 21: Factors Influencing Health Status and Contact with Health Services
- Z30-Z39: Persons encountering health services in circumstances related to reproduction
In simple words: This code is used for a pregnant person whose pregnancy is between 20 and 29 weeks along.It's used to keep track of the pregnancy's progress during doctor visits.
This code signifies a pregnancy encounter where the gestational age falls between 20 and 29 weeks.It's used to document the gestational age during routine prenatal visits or other healthcare encounters related to the pregnancy within this specific timeframe.A corresponding procedure code should be included if any procedures were performed.
Example 1: A 25-year-old woman at 24 weeks gestation presents for a routine prenatal checkup, including ultrasound, blood work, and assessment of fetal well-being.Code Z3A.2 is used to document the gestational age., A 30-year-old woman at 28 weeks gestation is admitted to the hospital for preterm labor.Code Z3A.2 is used in conjunction with codes for preterm labor and any related procedures performed., A 22-year-old woman at 20 weeks gestation presents to her physician for concerns about reduced fetal movement.Code Z3A.2 is used, along with any other codes reflecting the clinical findings and management (e.g. non-reactive non-stress test).
Complete prenatal record including dates of last menstrual period, ultrasound reports confirming gestational age, maternal and fetal vital signs, detailed notes regarding the reason for the encounter, any tests performed, and any medications or interventions administered.
** This code is part of a larger category of codes related to reproductive health encounters.Accurate coding requires precise documentation of the gestational age and the reason for the healthcare encounter.
- Payment Status: Active
- Modifier TC rule: Not applicable to this code as it's a diagnosis code, not a procedure code.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Birthing Center