ICD-10-CM Billable Code

O99.013

Anemia complicating pregnancy, third trimester

Clinical Classification Guidelines

Medical Intelligence & Overview

Anemia during pregnancy, particularly in the third trimester, is a condition where the red blood cell count is lower than normal, leading to decreased oxygen transportation throughout the body. When anemia complicates pregnancy, it can pose risks to both the mother and the developing baby. Recognized under ICD-10 code O99.013, this condition requires careful management and monitoring to ensure the health and safety of both mother and child.

Causes & Symptoms

Clinical Causes: Iron deficiency due to increased iron demands of pregnancy Folate deficiency Vitamin B12 deficiency Chronic blood loss from gastrointestinal conditions or other sources Multiple pregnancies (twins, triplets, etc.) Pre-existing anemia before pregnancy Certain medical conditions affecting blood production

Key Symptoms: Fatigue and weakness Paleness of skin and mucous membranes Shortness of breath Dizziness or light-headedness Rapid heartbeat Cold hands and feet Headache Difficulty concentrating

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves blood tests such as a complete blood count (CBC) to assess hemoglobin levels and hematocrit. Additional tests may evaluate iron levels, vitamin B12, and folate status. Healthcare providers will also review medical history and ask about symptoms to determine the severity and possible causes. Ultrasound scans and other imaging may be used in specific cases to rule out other issues.

Treatment Protocols: Treatment typically focuses on correcting the underlying deficiency and managing symptoms. Common approaches include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is O99.013 a billable ICD-10 code?
Yes, O99.013 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O99.013?
Clinical documentation must specify the nature of Anemia complicating pregnancy, third trimester and any associated comorbidities for accurate reporting.

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