2025 ICD-10-CM code Z3A.26
(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
26 weeks gestation of pregnancy.
No modifiers are typically applicable to Z3A.26.Modifiers may be required for procedures performed during the encounter, as per guidelines.
Medical necessity for coding Z3A.26 is established by the patient's pregnancy status at 26 weeks gestation and the need for routine or specialized prenatal care or treatment of pregnancy-related issues.
Obstetrician-gynecologist or primary care physician managing the pregnancy.
- Chapter 21: Factors influencing health status and contact with health services
- Z3A: Weeks of gestation
In simple words: This code means a woman is 26 weeks pregnant.Doctors use this code when noting the pregnancy's progress during a check-up.
This ICD-10-CM code signifies a pregnancy at 26 weeks gestation.It is used to classify encounters for prenatal care or other pregnancy-related services at this specific gestational age.This code is applicable to female patients aged 12-55 years.A corresponding procedure code must accompany this code if a procedure is performed.
Example 1: A 32-year-old female patient presents for a routine prenatal visit at 26 weeks gestation.The visit includes a physical exam, blood pressure check, urinalysis, fetal heart rate monitoring, and discussion of pregnancy-related concerns., A 20-year-old patient presents to the emergency room at 26 weeks gestation complaining of vaginal bleeding.The encounter involves an ultrasound and assessment for potential complications., A 40-year-old patient, at 26 weeks gestation, is admitted for gestational hypertension management, requiring close monitoring and medication adjustments.
Gestational age (in weeks), date of last menstrual period (LMP), ultrasound findings (if applicable), vital signs, fetal heart rate, results of any laboratory tests (e.g., urinalysis, blood work), patient's medical history, and any relevant notes from the encounter.
** This code is used for encounters specifically related to the 26th week of gestation.It should not be used for other gestational ages.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics and Gynecology, Family Medicine
- Place of Service:Office, Hospital (inpatient or outpatient), Birthing Center