AdetutuE_4590
New member
what coding example of AMA MULTIGRAVIDA VS PRIMIGRAVIDA?
would G1 be first pregnancy and fall under primigravida or multigravida?
would G1 be first pregnancy and fall under primigravida or multigravida?
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Resolved AMA MULTIGRAVIDA VS PRIMIGRAVIDA
- Thread starter AdetutuE_4590
- Start date
Lori
Well-known member
Risk Factors for a High-risk Pregnancy
A high-risk pregnancy is one that threatens the health or life of the mother or her fetus. In most cases, women who receive early and regular prenatal care have a healthy pregnancy and delivery without complications. However, due to various reasons, some women face an increased risk for complications even before they get pregnant. Examples of risk factors for a high-risk pregnancy include:
According to the ICD-10 coding guidelines, codes from category O09, supervision of high risk pregnancy, is valid for certain circumstances where the patient is above or below a certain age because it can be a risk factor, potentially requiring additional testing and monitoring for the development of complications. In these situations, the use of the additional code is necessary to specify for monitoring during high-risk pregnancy. While the patient’s age by itself has no impact on the delivery episode, the complication would be coded if the patient developed a complication because of her age.
When a Code from Category O09 Should NOT be Used
AHIMA provides the following example of when a code from category O09 does NOT apply: a woman was admitted to the hospital at 38 and 2/7 weeks gestation. She had noticed lack of fetal movement over a couple of days and a non-stress test was normal (reactive). This 38-year-old Gravida 6, Para 3, Abortions 2 (G6P3A2) woman has had a previous C-section. The gynecologist performed a repeat low cervical C-section because of the decreased fetal movement, was performed.
In this scenario, based on the new supervision of high-risk pregnancy ICD-10 coding guideline effective October 1, 2016, code O09.523 will not be used as the patient is an elderly multigravida that delivered; she presents for delivery and these codes are not for use on a delivery admission.
www.outsourcestrategies.com
Multigravida= a woman who has been pregnant more than once
Primigravida = It is used to describe a female who is pregnant and is also a medical term for the total number of confirmed pregnancies a female has had, regardless of the outcome of the pregnancy. For example, a female who is pregnant for the first time will be termed a primigravida, which means first pregnancy. The term "elderly primigravida" has also been used to refer to a woman in their first pregnancy who is at least 35 years old at the time of delivery.
Multipara (multiparous)is a patient who has given birth 2 or more times
Grand Multigravida a patient who has been pregnant 5 or more times
Grand Multipara is a who has given birth 5 or more times
Great Grand Multipara has delivered seven or more infants beyond 24 weeks of gestation.
Example - a woman who is described as 'gravida 2, para 2 (sometimes abbreviated to G2 P2) has had two pregnancies and two deliveries after 24 weeks, and a woman who is described as 'gravida 2, para 0' (G2 P0) has had two pregnancies, neither of which survived to a gestational age of 24 weeks.
O09.5 Supervision of elderly primigravida and multigravida
O09.51 Supervision of elderly primigravida
O09.511 …… first trimester
O09.512 …… second trimester
O09.513 …… third trimester
O09.519 …… unspecified trimester
O09.52 Supervision of elderly multigravida
O09.521 …… first trimester
O09.522 …… second trimester
O09.523 …… third trimester
O09.529 …… unspecified trimester
O09.6 Supervision of young primigravida and multigravida
O09.61 Supervision of young primigravida
O09.611 …… first trimester
O09.612 …… second trimester
O09.613 …… third trimester
O09.619 …… unspecified trimester
O09.62 Supervision of young multigravida
O09.621 …… first trimester
O09.622 …… second trimester
O09.623 …… third trimester
O09.629 …… unspecified trimester
Please see this free resource thread:
www.cco.community
A high-risk pregnancy is one that threatens the health or life of the mother or her fetus. In most cases, women who receive early and regular prenatal care have a healthy pregnancy and delivery without complications. However, due to various reasons, some women face an increased risk for complications even before they get pregnant. Examples of risk factors for a high-risk pregnancy include:
- Existing health conditions: For instance, having high blood pressure and/or diabetes, or being HIV-positive.
- Overweight and obesity: More than 50 percent of pregnant women in the U.S. are overweight or obese, according to the American Congress of Obstetricians and Gynecologists. Being obese raises the risk for high blood pressure, preeclampsia, gestational diabetes, stillbirth, neural tube defects, and cesarean delivery. Studies have found that maternal obesity can increase infants’ risk of heart problems at birth by 15 percent.
- Multiple births: Women more than one fetus (twins and higher-order multiples) face a higher risk of complications. Typical issues include preeclampsia, premature labor, and preterm birth.
- Young or old maternal age: The age of the mother is one of the common factors for high-risk pregnancy. Those who are in their teens or aged 35 or over have a higher risk for preeclampsia and gestational high blood pressure.
- Previous fetal loss: Previous fetal death poses a risk for subsequent pregnancy.
- History of complications with previous pregnancies: Complications experienced during a previous pregnancy are more likely to recur.
According to the ICD-10 coding guidelines, codes from category O09, supervision of high risk pregnancy, is valid for certain circumstances where the patient is above or below a certain age because it can be a risk factor, potentially requiring additional testing and monitoring for the development of complications. In these situations, the use of the additional code is necessary to specify for monitoring during high-risk pregnancy. While the patient’s age by itself has no impact on the delivery episode, the complication would be coded if the patient developed a complication because of her age.
When a Code from Category O09 Should NOT be Used
AHIMA provides the following example of when a code from category O09 does NOT apply: a woman was admitted to the hospital at 38 and 2/7 weeks gestation. She had noticed lack of fetal movement over a couple of days and a non-stress test was normal (reactive). This 38-year-old Gravida 6, Para 3, Abortions 2 (G6P3A2) woman has had a previous C-section. The gynecologist performed a repeat low cervical C-section because of the decreased fetal movement, was performed.
In this scenario, based on the new supervision of high-risk pregnancy ICD-10 coding guideline effective October 1, 2016, code O09.523 will not be used as the patient is an elderly multigravida that delivered; she presents for delivery and these codes are not for use on a delivery admission.
High-Risk Pregnancy - ICD-10 Coding Changes in 2017
According to the latest ICD-10 coding updates, codes for supervision of high-risk pregnancy should be used only during the prenatal period.
www.outsourcestrategies.com
Multigravida= a woman who has been pregnant more than once
Primigravida = It is used to describe a female who is pregnant and is also a medical term for the total number of confirmed pregnancies a female has had, regardless of the outcome of the pregnancy. For example, a female who is pregnant for the first time will be termed a primigravida, which means first pregnancy. The term "elderly primigravida" has also been used to refer to a woman in their first pregnancy who is at least 35 years old at the time of delivery.
Multipara (multiparous)is a patient who has given birth 2 or more times
Grand Multigravida a patient who has been pregnant 5 or more times
Grand Multipara is a who has given birth 5 or more times
Great Grand Multipara has delivered seven or more infants beyond 24 weeks of gestation.
Example - a woman who is described as 'gravida 2, para 2 (sometimes abbreviated to G2 P2) has had two pregnancies and two deliveries after 24 weeks, and a woman who is described as 'gravida 2, para 0' (G2 P0) has had two pregnancies, neither of which survived to a gestational age of 24 weeks.
O09.5 Supervision of elderly primigravida and multigravida
O09.51 Supervision of elderly primigravida
O09.511 …… first trimester
O09.512 …… second trimester
O09.513 …… third trimester
O09.519 …… unspecified trimester
O09.52 Supervision of elderly multigravida
O09.521 …… first trimester
O09.522 …… second trimester
O09.523 …… third trimester
O09.529 …… unspecified trimester
O09.6 Supervision of young primigravida and multigravida
O09.61 Supervision of young primigravida
O09.611 …… first trimester
O09.612 …… second trimester
O09.613 …… third trimester
O09.619 …… unspecified trimester
O09.62 Supervision of young multigravida
O09.621 …… first trimester
O09.622 …… second trimester
O09.623 …… third trimester
O09.629 …… unspecified trimester
Please see this free resource thread:
Resource - OBGYN Coding
15. Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A) a. General Rules for Obstetric Cases 1) Codes from chapter 15 and sequencing priority Obstetric cases require codes from chapter 15, codes in the range O00- O9A, Pregnancy, Childbirth, and the Puerperium. Chapter 15 codes have...
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