What is the ICD-10 code for cholestasis of pregnancy?

The ICD-10 code for cholestasis of pregnancy is O26.64-, with specific codes for each trimester: O26.641 for the first trimester, O26.642 for the second, and O26.643 for the third.

How is intrahepatic cholestasis of pregnancy documented?

Document intrahepatic cholestasis of pregnancy by specifying the trimester, bile acid levels, and liver function tests, ensuring accurate coding and treatment planning.

ICD-10 Coding for Cholestasis of Pregnancy(O26.641, O26.61, O26.64)

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Learn about the ICD-10 coding for cholestasis of pregnancy, including trimester-specific codes, documentation requirements, and common coding pitfalls.

Also known as:

Intrahepatic Cholestasis of PregnancyObstetric Cholestasisicp

Related ICD-10 Code Ranges

Complete code families applicable to Cholestasis of Pregnancy

O00-O9APrimary Range

Pregnancy, childbirth and the puerperium

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
O26.641	Intrahepatic cholestasis of pregnancy, first trimester	Use when intrahepatic cholestasis is diagnosed in the first trimester.	Pruritus without rash Total bile acids ≥10 µmol/L Elevated ALT/AST
O26.642	Intrahepatic cholestasis of pregnancy, second trimester	Use when intrahepatic cholestasis is diagnosed in the second trimester.	Pruritus without rash Total bile acids ≥10 µmol/L Elevated ALT/AST
O26.643	Intrahepatic cholestasis of pregnancy, third trimester	Use when intrahepatic cholestasis is diagnosed in the third trimester.	Pruritus without rash Total bile acids ≥10 µmol/L Elevated ALT/AST
O26.649	Intrahepatic cholestasis of pregnancy, unspecified trimester	Use when intrahepatic cholestasis is diagnosed but trimester is not specified.	Pruritus without rash Total bile acids ≥10 µmol/L Elevated ALT/AST

Primary ICD-10-CM Codes

Intrahepatic cholestasis of pregnancy, first trimester

O26.641Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Liver disorders in pregnancyO26.61

Documentation & Coding Risks

Avoid these common issues when documenting Cholestasis of Pregnancy.

Failing to specify the trimester in documentation.

Impact

Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.

Mitigation

Always include trimester in clinical notes., Use templates to ensure completeness.

Using outdated codes like O26.61- for ICP.

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with updated coding standards., Data Quality: Inaccurate data for clinical and research purposes.

Mitigation

Use the new O26.64- series codes with trimester specificity.

Not documenting the trimester of pregnancy.

Impact

Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation

Ensure documentation specifies the trimester for accurate coding.

Trimester documentation

Impact

Failure to document trimester can lead to audit issues.

Mitigation

Ensure all documentation includes trimester information.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with O26.641.

Primary Code

O26.641

Intrahepatic cholestasis of pregnancy, first trimester

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ICD-10 codes7

Coding risks4

FAQs2

ICD-10 Coding for Cholestasis of Pregnancy(O26.641, O26.61, O26.64)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for cholestasis of pregnancy?

How is intrahepatic cholestasis of pregnancy documented?

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