• 1.  diagnosis code

    Posted 04-20-2021 19:30
    this is the text from chart note from the patient's in office visit: "fetal arrhythmia found on outside ultrasound this morning during her fetal anatomy scan"

    Would O76 "Abnormality in fetal heart rate & rhythm complicating labor" be an appropriate code?  The patient was not in active labor.

    Thank you

    Linda Carroll, CMPE
    Aurora Maternal Fetal Medicine, LLC
    4120 Laurel St Ste 203
    Anchorage, AK 99508
    P 907-677-2636

    AKMGMA Education Chair 2019-2020

  • 2.  RE: diagnosis code

    Posted 04-21-2021 08:07

    I would use:  O36.83-- Maternal care for abnormalities of fetal heart rate or rhythm, xxx trimester




    Erin Kornovich, CPC | Coding Specialist II – Maternal Fetal Medicine & Physiatry


    P: 320-251-2700, ext. 52373


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  • 3.  RE: diagnosis code

    Posted 04-21-2021 20:37

    Coding Q&A: Question #1389

    For a fetal arrhythmia (eg PACs, SVT) is the only code O76 even if the patient is not in labor?


    ICD-10 code O36.891 - O36.899 (Maternal care for other specified fetal problems) would be used for fetal arrhythmia for patients not in labor or delivery.

    Vanita Jain, MD
    Chair, SMFM Coding Committee

  • 4.  RE: diagnosis code

    Posted 04-21-2021 20:39
    sorry should add I agree with Erin when i said agree 
    in 2015 we answered as i copied above

    Vanita Jain, MD
    Chair, SMFM Coding Committee

  • 5.  RE: diagnosis code

    Posted 04-22-2021 10:14
    Hi Linda,
    Agree with Erin & Vanita.
    Antenatally, I would use the O36.83 series (Maternal care for abnormalities of the fetal heart rate or rhythm) for fetal arrhythmia.
    O76 is specific to intrapartum fetal heart rate abnormalities.

    Fadi Bsat, MD
    Past Chair, SMFM Coding Committee