Is Z38.64 a billable ICD-10-CM code?

Yes. Z38.64 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z38.64 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in circumstances related to reproduction (Z30-Z39).

Z38.64

Z38.64 — Quadruplet liveborn infant, delivered by cesarean

Billable / specific codeICD-10-CMPOA exempt

Z38.64 is a billable, specific ICD-10-CM code for quadruplet liveborn infant, delivered by cesarean. It is valid for submission on a claim.

Risk adjustment

Z38.64 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How Z38.64 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z38.64.

Newborn›quadruplet›born in hospital›by cesarean
Infant›liveborn›quadruplet›born in hospital›by cesarean

Related codes at this level

Codes that share Z38.6. If Z38.64 is not quite right, the correct code is usually one of these.

Questions about Z38.64

Is Z38.64 a billable ICD-10-CM code?: Yes. Z38.64 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z38.64 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in circumstances related to reproduction (Z30-Z39).