O30-O48: Maternal care related to the fetus and amniotic cavity and possible delivery problems
ICD-10-CM codes O30-O48 cover maternal care related to the fetus and amniotic cavity and possible delivery problems, within pregnancy, childbirth and the puerperium. The block holds 1,669 codes across 16 categories, of which 1,377 are billable and 292 are header codes that cannot be submitted on a claim. 1,281 of them (77%) require a 7th character.
The 7th character in O30-O48
A code in this block is not complete without its 7th character, and a missing one is a rejected claim rather than a denied one: the clearinghouse never passes it on. 1,281 of the 1,669 codes here take one.
- 0
- not applicable or unspecified
- 1
- fetus 1
- 2
- fetus 2
- 3
- fetus 3
- 4
- fetus 4
- 5
- fetus 5
- 9
- other fetus
What else to watch in O30-O48
- 52 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in O30-O48
- O30Multiple gestation
- O31Complications specific to multiple gestation
- O32Maternal care for malpresentation of fetus
- O33Maternal care for disproportion
- O34Maternal care for abnormality of pelvic organs
- O35Maternal care for known or suspected fetal abnormality and damage
- O36Maternal care for other fetal problems
- O40Polyhydramnios
- O41Other disorders of amniotic fluid and membranes
- O42Premature rupture of membranes
- O43Placental disorders
- O44Placenta previa
- O45Premature separation of placenta [abruptio placentae]
- O46Antepartum hemorrhage, not elsewhere classified
- O47False labor
- O48Late pregnancy