ICD-10-CM Billable Code

O09.213

Supervision of pregnancy with history of pre-term labor, third trimester

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 Code O09.213 pertains to the ongoing medical supervision of pregnant individuals in the third trimester who have a history of pre-term labor. This classification is used by healthcare providers to monitor pregnancies considered higher risk due to previous early labor, aiming to ensure the health and safety of both mother and baby during this critical stage of pregnancy.

Causes & Symptoms

Clinical Causes: Previous episodes of pre-term labor Cervical insufficiency Uterine abnormalities Infections during pregnancy Multiple pregnancies (twins, triplets, etc.) Maternal health conditions such as high blood pressure or diabetes Lifestyle factors including smoking or substance use Stress and emotional factors Inadequate prenatal care

Key Symptoms: Regular uterine contractions prior to 37 weeks of gestation Lower back pain Increased vaginal discharge or bleeding Pelvic pressure or feeling of heaviness Changes in activity levels due to discomfort Fluid leakage indicating potential rupture of membranes

Diagnostic & Treatment

Diagnosis Path: Pelvic examination to check cervical length and dilation Ultrasound imaging to monitor fetal development and cervical length Fetal monitoring to detect any distress or abnormal patterns Laboratory tests for infections or other health issues Assessment of maternal health history and previous pre-term labor episodes

Treatment Protocols: Bed rest or activity modification to minimize uterine stress Medications such as progesterone supplements to support pregnancy Tocolytic drugs to delay contractions if symptoms arise Treatment of any identified infections promptly Regular prenatal visits for monitoring progress Patient education on recognizing early signs of pre-term labor Planning for delivery logistics and neonatal care in case early birth becomes necessary

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 O09.213 a billable ICD-10 code?
Yes, O09.213 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O09.213?
Clinical documentation must specify the nature of Supervision of pregnancy with history of pre-term labor, third trimester and any associated comorbidities for accurate reporting.

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