AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; New/Revised ICD-10-CM Codes

Trichorionic/Triamniotic Triplet and Quadrachorionic/Quadra-Amniotic Quadruplet Pregnancy

New subcategories describing the number of chorionic and amniotic sacs in triplet pregnancy (O30.13); quadruplet pregnancy (O30.23); and other specified multiple gestation pregnancy (O30.83) were created to capture the most common presentation in multiple gestation pregnancy, where the number of placentas is equal to the number of amniotic sacs. In trichorionic/triamniotic triplet and quadrachorionic/quadra-amniotic quadruplet pregnancy, each infant has a separate placenta and amniotic sac. Depending on the number of chorions and amnions, the risk of complication is higher and treatment plans can vary. Multiple gestation pregnancies with monochorionic pairs have a much greater risk of...

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