Cesarean Section Diagnosis Code List - Molina Healthcare
Cesarean Section Diagnosis Code List
Diagnosis codes indicating medical necessity for a cesarean-section:
ICD-10 Code
A60.9 A60.04 I61.9 I62.00 I62.1 I62.9 I63.019 I63.119 I63.139 I63.20
I63.219 I63.22 I63.239 I63.30 I63.40 I63.50 I63.59 I65.09 I65.1 I65.29 I65.8 I65.9 I66.09 I66.09 I66.19 I66.29 I66.9
Description
Anogenital herpesviral infection, unspecified Herpesviral vulvovaginitis
Nontraumatic intracerebral hemorrhage, unspecified Nontraumatic subdural hemorrhage, unspecified Nontraumatic extradural hemorrhage
Nontraumatic intracranial hemorrhage, unspecified Cerebral infarction due to thrombosis of unspecified vertebral artery Cerebral infarction due to embolism of unspecified vertebral artery
Cerebral infarction due to embolism of unspecified carotid artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral
arteries Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral arteries
Cerebral infarction due to unspecified occlusion or stenosis of basilar arteries Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries
Cerebral infarction due to thrombosis of unspecified cerebral artery Cerebral infarction due to embolism of unspecified cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
Occlusion and stenosis of unspecified vertebral artery Occlusion and stenosis of basilar artery
Occlusion and stenosis of unspecified carotid artery Occlusion and stenosis of other precerebral arteries Occlusion and stenosis of unspecified precerebral artery Occlusion and stenosis of unspecified middle cerebral artery
Occlusion and stenosis of unspecified mi Occlusion and stenosis of unspecified anterior cerebral artery Occlusion and stenosis of unspecified posterior cerebral artery
Occlusion and stenosis of unspecified cerebral artery
Page 1 of 9
Updated: 06/29/21
Cesarean Section Diagnosis Code List
J44.0 J44.1 J44.9 J45.20 J45.21 J45.22 J45.901 J45.902 J45.909 J45.990 J45.991 J45.998 O14.10 O14.12 O14.13 O14.20 O14.22 O14.23 O15.02 O15.03 O15.1 O15.2 O15.9 O26.50 O26.619 O30.001
O30.002
O30.003
Chronic obstructive pulmonary disease with acute lower respiratory infection Chronic obstructive pulmonary disease with (acute) exacerbation Chronic obstructive pulmonary disease, unspecified Mild intermittent asthma, uncomplicated Mild intermittent asthma with (acute) exacerbation Mild intermittent asthma with status asthmaticus Unspecified asthma with (acute) exacerbation Unspecified asthma with status asthmaticus Unspecified asthma, uncomplicated Exercise induced bronchospasm Cough variant asthma Other asthma Severe pre-eclampsia, unspecified trimester Severe pre-eclampsia, second trimester Severe pre-eclampsia, third trimester HELLP syndrome (HELLP), unspecified trimester HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester Eclampsia in pregnancy, second trimester Eclampsia in pregnancy, third trimester Eclampsia in labor Eclampsia in the puerperium Eclampsia, unspecified as to time period Maternal hypotension syndrome, unspecified trimester Liver and biliary tract disorders in pregnancy, unspecified trimester
Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
Page 2 of 9
Updated: 06/29/21
Cesarean Section Diagnosis Code List
O30.009 O30.101 O30.102 O30.103 O30.109 O30.201 O30.202 O30.203 O30.209 O30.801 O30.802 O30.803 O30.809 O30.90 O30.91 O30.92 O30.93 O31.10X0 O31.11X0
Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
Multiple gestation, unspecified, unspecified trimester
Multiple gestation, unspecified, first trimester
Multiple gestation, unspecified, second trimester
Multiple gestation, unspecified, third trimester
Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, not applicable or unspecified
Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified
Page 3 of 9
Updated: 06/29/21
Cesarean Section Diagnosis Code List
O31.30X0
Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, not applicable or unspecified
O31.31X0 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, not applicable or unspecified
O31.32X0
Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, not applicable or unspecified
O31.33X0 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, not applicable or unspecified
O31.8X10
Other complications specific to multiple gestation, first trimester, not applicable or unspecified
O31.8X20
Other complications specific to multiple gestation, second trimester, not applicable or unspecified
O31.8X30
Other complications specific to multiple gestation, third trimester, not applicable or unspecified
O31.8X90
Other complications specific to multiple gestation, unspecified trimester, not applicable or unspecified
O32.1XX0
Maternal care for breech presentation, not applicable or unspecified
O32.2XX0
Maternal care for transverse and oblique lie, not applicable or unspecified
O32.3XX0
Maternal care for face, brow and chin presentation, not applicable or unspecified
O32.4XX0
Maternal care for high head at term, not applicable or unspecified
O32.6XX0
Maternal care for compound presentation, not applicable or unspecified
O32.8XX0
Maternal care for other malpresentation of fetus, not applicable or unspecified
O32.9XX0
Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified
O33.0
Maternal care for disproportion due to deformity of maternal pelvic bones
O33.1
Maternal care for disproportion due to generally contracted pelvis
O33.2
Maternal care for disproportion due to inlet contraction of pelvis
O34.80
Maternal care for other abnormalities of pelvic organs, unspecified trimester
O34.90
Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester
O35.0XX0 Maternal care for (suspected) central nervous system malformation in fetus, not applicable or unspecified
O35.1XX0
Maternal care for (suspected) chromosomal abnormality in fetus, not applicable or unspecified
O36.0110
Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified
Page 4 of 9
Updated: 06/29/21
Cesarean Section Diagnosis Code List
O36.0120
Maternal care for anti-D [Rh] antibodies, second trimester, not applicable or unspecified
O36.0130
Maternal care for anti-D [Rh] antibodies, third trimester, not applicable or unspecified
O36.0190 Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified
O36.0910 Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified
O36.0920
Maternal care for other rhesus isoimmunization, second trimester, not applicable or unspecified
O36.0930 Maternal care for other rhesus isoimmunization, third trimester, not applicable or unspecified
O36.0990
Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified
O36.1190 Maternal care for Anti-A sensitization, unspecified trimester, not applicable or unspecified
O36.1990 Maternal care for other isoimmunization, unspecified trimester, not applicable or unspecified
O36.4XX0
Maternal care for intrauterine death, not applicable or unspecified
O36.5190
Maternal care for known or suspected placental insufficiency, unspecified trimester, not applicable or unspecified
O36.5990
Maternal care for other known or suspected poor fetal growth, unspecified trimester, not applicable or unspecified
O36.60X0 Maternal care for excessive fetal growth, unspecified trimester, not applicable or unspecified
O40.1XX0
Polyhydramnios, first trimester, not applicable or unspecified
O40.2XX0
Polyhydramnios, second trimester, not applicable or unspecified
O40.3XX0
Polyhydramnios, third trimester, not applicable or unspecified
O40.9XX0
Polyhydramnios, unspecified trimester, not applicable or unspecified
O41.00X0
Oligohydramnios, unspecified trimester, not applicable or unspecified
O41.1090 Infection of amniotic sac and membranes, unspecified, unspecified trimester, not applicable or unspecified
O41.1290
Chorioamnionitis, unspecified trimester, not applicable or unspecified
O41.1490
Placentitis, unspecified trimester, not applicable or unspecified
O42.10
Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation
O43.019
Fetomaternal placental transfusion syndrome, unspecified trimester
O44.00
Placenta previa specified as without hemorrhage, unspecified trimester
O44.01
Placenta previa specified as without hemorrhage, first trimester
O44.02
Placenta previa specified as without hemorrhage, second trimester
Page 5 of 9
Updated: 06/29/21
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