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

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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

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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

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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

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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

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Updated: 06/29/21

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