Wiki Z34 codes and Z3A codes - guidelines correctly

[jlv1980]

My understanding is all Chapter 15 codes or "O" codes will have to have weeks gestation (Z3A codes) attached. For "normal" pregnancy codes in Chapter 21, do those also need Z3A codes attached? I'm wondering for when we need to charge out by visit if the patient has changed insurance of if we see her only for a few visits. I've been told at a number of training sessions for ICD10 that we do not have to use Z3A codes with Z34 normal pregnancy codes. Am I interpreting the guidelines correctly?

 

[mcrcmmath]

I have the same question

I cannot find any support for using both the Z34 and Z3A codes simultaneously. I am interpreting the instructions for the Z3A "Code first complication of pregnancy, childbirth and the puerperium" to mean that the Z3A codes are supplemental to complication codes. Therefore, my interpretation is that we do not need to use the Z3A codes with the routine "normal" OB codes Z34.

However, I attended an ICD-10 course recently and was told that it would not be incorrect either way.

I would also appreciate further clarification.

 

[jlv1980]

I was able to get some clarification thru ACOG. Category Z3A includes codes specifying the number of weeks gestation at the time of the encounter. The codes should be reported in addition to codes from Chapter 15. It is not necessary, but acceptable, to report the number of weeks gestation in conjunction with codes for routine prenatal visits and services.(The Z34 codes).
I hope this helps.