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ICD-10 code for Rh negative status in pregnancy

  • 1.  ICD-10 code for Rh negative status in pregnancy

    Posted 10-29-2020 13:13
    What ICD-10 codes would be assigned for Rh negative status in pregnancy?

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    Erin Kornovich
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  • 2.  RE: ICD-10 code for Rh negative status in pregnancy

    Posted 10-29-2020 16:10
    O26.891 Rh neg state first trimester​O26.892 Rh neg state second trimester
    O26.893 Rh neg state Third trimester
    O26.899 Rh neg state unknown  trimester

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    Sean Kenney
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  • 3.  RE: ICD-10 code for Rh negative status in pregnancy

    Posted 10-29-2020 16:18

    I have always used O36.01XX with a status code Z67.xx.

     

    Teresa Lemack CPC COBGC

    Coder

    UCHealth Medical Group

    Professional Coding Services

    p: 719-661-6622

    teresa.lemack@uchealth.org

    uchealth.org

     

    image001.jpg@01D27C68.6DC58570

     






  • 4.  RE: ICD-10 code for Rh negative status in pregnancy

    Posted 10-30-2020 07:24
    Curious why O26.89- which does not read Rh negative state it reads other specified pregnancy related condition when O36.01 reads maternal care for anti-D antibodies.

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    Ruby Woodward
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  • 5.  RE: ICD-10 code for Rh negative status in pregnancy

    Posted 10-30-2020 07:39
    Well, that is what comes up in EPIC which was built 2 years ago, supposedly based on what we previously had which was based on the SMFM cheat sheet. I stand corrected, I will notify our coding epic team.

    It does amaze me that ICD-10 is not clear/uniform in something as big as EPIC.

    ThanksSean​

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    Sean Kenney
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  • 6.  RE: ICD-10 code for Rh negative status in pregnancy

    Posted 10-30-2020 07:52

    Ruby,


    On second thought, Doesn't O36.01 maternal Care for Anti-D antibodies, indicate caring for someone who has Rh Isoimmunization?


    Sean




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  • 7.  RE: ICD-10 code for Rh negative status in pregnancy

    Posted 11-04-2020 12:10
    Yes ... the O36.01 series refers to isoimmunized patients who have anti-D antibodies.
    EPIQ may not always give you correct coding as it may have been programmed incorrectly for your site. The correct coding advice was shared earlier in the thread. I am noting it again:

    O negative is Z67.41
    A negative is Z67.11
    B negative is Z67.21
    AB negative is Z67.31
    "Unspecified blood type, Rh negative" is Z67.91.

    Isoimmunization to the Rh (D) antigen falls in the ICD-10 series O36.0110-O36.0199

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    Fadi Bsat, MD
    Past Chair, SMFM Coding Committee
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  • 8.  RE: ICD-10 code for Rh negative status in pregnancy

    Posted 10-30-2020 11:07
    Hi Erin,

    O negative is Z67.41
    A negative is Z67.11
    B negative is Z67.21
    AB negative is Z67.31
    "Unspecified blood type, Rh negative" is Z67.91.

    Isoimmunization to the Rh (D) antigen falls in the ICD-10 series O36.0110-O36.0199

    Fadi

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    Fadi Bsat, MD
    Past Chair, SMFM Coding Committee
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