O26.849
Uterine size-date discrepancy, unspecified trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
Uterine size-date discrepancy is a condition identified during pregnancy when the size of the uterus does not match the expected size for the gestational age. This discrepancy can be detected through routine ultrasounds and examinations. It may indicate various underlying issues affecting fetal growth or pregnancy progression. While the condition itself is a sign rather than a disease, recognizing it is essential for ensuring appropriate prenatal care and monitoring.
Causes & Symptoms
Clinical Causes: Incorrect gestational dating due to inaccurate last menstrual period record Fetal growth restriction, also known as intrauterine growth restriction (IUGR) Multiple pregnancies, such as twins or triplets Polyhydramnios (excess amniotic fluid) Oligohydramnios (insufficient amniotic fluid) Placental insufficiency or abnormalities Maternal health conditions like hypertension or diabetes Fetal anomalies or genetic disorders Errors in ultrasound measurement or operator technique
Key Symptoms: No specific symptoms; often detected during routine ultrasound exams Concerns about fetal growth or movement reported by the mother Potential signs related to complications such as preeclampsia or preterm labor
Diagnostic & Treatment
Diagnosis Path: The diagnosis of uterine size-date discrepancy involves several steps:
Treatment Protocols: Management strategies focus on closely monitoring the pregnancy and addressing underlying causes when possible:
Clinical Advice & FAQs
Billing Guidance
Is O26.849 a billable ICD-10 code?
Yes, O26.849 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O26.849?
Clinical documentation must specify the nature of Uterine size-date discrepancy, unspecified trimester and any associated comorbidities for accurate reporting.
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