Urology Coding Alert

You’ll have just one code to indicate incidental pregnancy status.

When a patient reports to your practice and is pregnant, but her complaint is documented as “incidental” to the pregnancy, you will report this code along with a code outside of the obstetric complications Chapter 15 of ICD-10-CM that signifies the complaint.

ICD-9-CM Code: Right now, you should be reporting V22.2 (Pregnant state, incidental).

ICD-10-CM Code: In 2014, you will report Z33.1 (Pregnant state, incidental). The good news is you have a one-to-one correlation between these codes. Both descriptors match up. You’ll simply shift from V22.2 to Z33.1 when ICD-10 implementation date hits on October 1, 2014.

Documentation: To use this code the provider must document in the chart that at the time of the encounter that the pregnancy was incidental.

Here is how you will locate this code in your Alphabetic Index:

Pregnancy (childbirth) (labor) (puerperium) —see also Delivery and Puerperal

- incidental finding Z33.1

State (of)

- pregnant, incidental Z33.1

Coding tips: You will see an Excludes1 note under Z33.1 stating you should not report this code with complications of pregnancy codes (O00-O9A).

Physician documentation: Your urologist should already be documenting if a patient is pregnant and whether her condition is incidental or a complication of the pregnancy.

Superbill updates: While you won’t need to make more room for these codes on your superbill in 2014, you still must update the sheet with the new diagnosis codes.