Coding, Classification & Reimbursement

Z34.8x vs Z34.9x

  • 1.  Z34.8x vs Z34.9x

    Posted 05-16-2018 11:28
    Hi!

    Can someone explain the difference between using Z34.8x vs Z34.9x?

    Encounter for supervision of other normal pregnancy, unspecified trimester

    VS

    Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.

    When would you use one instead of the other?

    Thank you

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    Kathleen

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  • 2.  RE: Z34.8x vs Z34.9x

    Posted 05-16-2018 11:51

    My Interpretation:

    Supervision of other normal pregnancy (z348)means supervision of pregnancy other than the first pregnancy

    Supervision of normal pregnancy(Z349), means unknown if first or not

     






  • 3.  RE: Z34.8x vs Z34.9x

    Posted 05-17-2018 11:57

    The Guidelines I.A.9.a. says "other codes are for use when the information in the medical record provides detail for which a specific code does not exist." In other words using the "8" the coders has more information than the code provides.

    b. "Codes titled unspecified are for use when the information in the medical record is insufficient to assign a more specific code." In other words the coder has less information than a different code provides, thus use "9 for unspecified."



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    Lois Hoyer
    Coding Analyst Lead
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