2024 ICD-10-CM Diagnosis Code O29.123
Cardiac failure due to anesthesia during pregnancy, third trimester
- ICD-10-CM Code:
- O29.123
- ICD-10 Code for:
- Cardiac failure due to anesth during preg, third trimester
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
O29.123 is a billable diagnosis code used to specify a medical diagnosis of cardiac failure due to anesthesia during pregnancy, third trimester. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
The code O29.123 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.
The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as maternal disorders related to pregnancy.
Clinical Classification
| Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
|---|---|---|---|
| Anesthesia complications during pregnancy | PRG025 | Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis. | Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis. |
| Heart failure | CIR019 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:
- Maternity diagnoses - The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Convert O29.123 to ICD-9-CM
- ICD-9-CM Code: 646.81 - Preg compl NEC-delivered
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. - ICD-9-CM Code: 646.83 - Preg compl NEC-antepart
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Patient Education
Anesthesia
What is anesthesia?
Anesthesia is the use of medicines to prevent pain during surgery and other procedures. These medicines are called anesthetics. They may be given by injection, inhalation, topical lotion, spray, eye drops, or skin patch. They cause you to have a loss of feeling or awareness.
What is anesthesia used for?
Anesthesia may be used in minor procedures, such as filling a tooth. It could be used during childbirth or procedures such as colonoscopies. And it is used during minor and major surgeries.
In some cases, a dentist, nurse, or doctor may give you an anesthetic. In other cases, you may need an anesthesiologist. This is a doctor who specializes in giving anesthesia.
What are the types of anesthesia?
There are several different types of anesthesia:
- Local anesthesia numbs a small part of the body. It might be used on a tooth that needs to be pulled or on a small area around a wound that needs stitches. You are awake and alert during local anesthesia.
- Regional anesthesia is used for larger areas of the body such as an arm, a leg, or everything below the waist. You may be awake during the procedure, or you may be given sedation. Regional anesthesia may be used during childbirth, a Cesarean section (C-section), or minor surgeries.
- General anesthesia affects the whole body. It makes you unconscious and unable to move. It is used during major surgeries, such as heart surgery, brain surgery, back surgery, and organ transplants.
What are the risks of anesthesia?
Anesthesia is generally safe. But there can be risks, especially with general anesthesia, including:
- Heart rhythm or breathing problems
- An allergic reaction to the anesthesia
- Delirium after general anesthesia. Delirium makes people confused. They may be unclear about what is happening to them. Some people over the age of 60 have delirium for several days after surgery. It can also happen to children when they first wake up from anesthesia.
- Awareness when someone is under general anesthesia. This usually means that the person hears sounds. But sometimes they can feel pain. This is rare.
[Learn More in MedlinePlus]
Heart Failure
What is heart failure?
Heart failure means that your heart can't pump enough oxygen-rich blood to meet your body's needs. Heart failure doesn't mean that your heart has stopped or is about to stop beating. But without enough blood flow, your organs may not work well, which can cause serious problems.
Heart failure can affect one or both sides of your heart:
- With right-sided heart failure, your heart is too weak to pump enough blood to your lungs to get oxygen.
- With left-sided heart failure, your heart can't pump enough oxygen-rich blood out to your body. This happens when the left side of your heart becomes either:
- Too weak to pump enough blood.
- Too thick or stiff to relax and fill with enough blood.
Left-sided heart failure is more common than right-sided heart failure.
What causes heart failure?
Heart failure can start suddenly after a medical condition or injury damages your heart muscle. But in most cases, heart failure develops slowly from long-term medical conditions.
Conditions that can cause heart failure include:
- Arrhythmia (a problem with the rate or rhythm of your heartbeat)
- Cardiomyopathy
- Congenital heart defects or other types of heart diseases that you are born with
- Coronary artery disease
- Endocarditis
- Heart attack
- Heart valve diseases
- High blood pressure
- A blood clot in your lung
- Diabetes
- Certain severe lung diseases, such as COPD (chronic obstructive pulmonary disease)
- Obesity
Over time, left-sided heart failure can lead to right-sided heart failure.
Who is more likely to develop heart failure?
Heart failure can happen at any age. It happens to both men and women, but men often develop it at a younger age than women. Your chance of developing heart failure increases if:
- You're 65 years old or older. Aging can weaken and stiffen your heart muscle.
- Your family health history includes relatives who have or have had heart failure.
- You have changes in your genes that affect your heart tissue.
- You have habits that can harm your heart, including:
- Smoking
- Eating foods high in fat, cholesterol, and sodium (salt)
- Having an inactive lifestyle
- Alcohol use disorder (AUD)
- Illegal drug use
- You have other medical conditions that can affect your heart, including:
- Any heart or blood vessel conditions, including high blood pressure
- Serious lung diseases
- Infection, such as HIV or COVID-19
- Obesity
- Diabetes
- Sleep apnea
- Chronic kidney disease
- Anemia
- Iron overload disease
- Cancer treatments that can harm your heart, such as radiation and chemotherapy
- You are African American. African Americans are more likely to develop heart failure and have more serious cases at younger ages than people of other races. Factors such as stigma, discrimination, income, education, and geographic region can also affect their risk of heart failure.
What are the symptoms of heart failure?
The symptoms of heart failure depend on which side of your heart is affected and how serious your condition has become. Most symptoms are caused by reduced blood flow to your organs and fluid buildup in your body.
Fluid buildup happens because the flow of blood through your heart is too slow. As a result, blood backs up in the vessels that return the blood to your heart. Fluid may leak from the blood vessels and collect in the tissues of your body, causing swelling (edema) and other problems.
Symptoms of heart failure may include:
- Feeling short of breath (like you can't get enough air) when you do things like climbing stairs. This may be one of the first symptoms you notice.
- Fatigue or weakness even after rest.
- Coughing.
- Swelling and weight gain from fluid in your ankles, lower legs, or abdomen (belly).
- Difficulty sleeping when lying flat.
- Nausea and loss of appetite.
- Swelling in the veins of your neck.
- Needing to urinate (pee) often.
At first you may have no symptoms or mild symptoms. As the disease gets worse, your symptoms will usually bother you more.
What other problems does heart failure cause?
Fluid buildup and reduced blood flow to your organs can lead to serious problems, including:
- Breathing problems from fluid in and around your lungs (also called congestive heart failure)
- Kidney or liver damage including cirrhosis
- Malnutrition if fluid buildup makes eating uncomfortable or if your stomach doesn't get enough blood flow to digest food properly
- Other heart conditions, such as irregular heartbeat and sudden cardiac arrest
- Pulmonary hypertension
How is heart failure diagnosed?
To find out if you have heart failure, your doctor will:
- Ask about your medical history, including your symptoms
- Ask about your family health history, including relatives who have had heart failure
- Do a physical exam
- Will likely order heart tests and blood tests, including a brain natriuretic peptide (BNP) test
In some cases, your doctor may refer you to a cardiologist (a doctor who specializes in heart diseases) for tests, diagnosis, and care.
What are the treatments for heart failure?
Your treatment will depend on the type of heart failure you have and how serious it is. There's no cure for heart failure. But treatment can help you live longer with fewer symptoms.
Even with treatment, heart failure usually gets worse over time, so you'll likely need treatment for the rest of your life.
Most treatment plans include:
- Taking medicine
- Eating less sodium and drinking less liquid to control fluid buildup
- Making other changes, such as quitting smoking, managing stress, and getting as much physical activity as your health care provider recommends
- Treating any conditions that may make heart failure worse
You may need heart surgery if:
- You have a congenital heart defect or damage to your heart that can be fixed.
- The left side of your heart is getting weaker and putting a device in your chest could help. Devices include:
- An implantable cardioverter defibrillator.
- A biventricular pacemaker (cardiac resynchronization therapy).
- A mechanical heart pump (a ventricular assist device (VAD) or a total artificial heart).
- Your heart doctor recommends a heart transplant because your heart failure is life-threatening and nothing else is helping.
As part of your treatment, you'll need to pay close attention to your symptoms, because heart failure can worsen suddenly. Your provider may suggest a cardiac rehabilitation program to help you learn how to manage your condition.
Can heart failure be prevented?
You may be able to prevent or delay heart failure if you:
- Work with your provider to manage any health conditions that increase your risk of developing heart failure
- Make healthy changes in your eating, exercise, and other daily habits to help prevent heart disease
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.