ICD-10 Diagnosis Code Z38.66

Quintuplet liveborn infant, delivered by cesarean

Diagnosis Code Z38.66

ICD-10: Z38.66
Short Description: Quintuplet liveborn infant, delivered by cesarean
Long Description: Quintuplet liveborn infant, delivered by cesarean
This is the 2017 version of the ICD-10-CM diagnosis code Z38.66

Code Classification
  • Factors influencing health status and contact with health services
    • Persons encountering health services in circumstances related to reproduction (Z30-Z39)
      • Liveborn infants according to place of birth and type of del (Z38)

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Perinatal/Newborn diagnoses Additional informationCallout TooltipPerinatal/Newborn diagnoses
Newborn. Age of 0 years; a subset of diagnoses intended only for newborns and neonates (e.g., fetal distress, perinatal jaundice).

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code Z38.66 is exempt from POA reporting.

Information for Patients

Cesarean Section

Also called: C-section

A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mother's abdomen. In the United States, almost one in three women has their babies this way. Some C-sections are planned, but many are done when unexpected problems happen during delivery. Reasons for a C-section may include

  • Health problems in the mother
  • The mother carrying more than one baby
  • The size or position of the baby
  • The baby's health is in danger
  • Labor is not moving along as it should

The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. It can raise the risk of having difficulties with future pregnancies. Some women may have problems attempting a vaginal birth later. Still, many women are able to have a vaginal birth after cesarean (VBAC).

NIH: National Institute of Child Health and Human Development

  • After a C-section - in the hospital
  • C-section
  • Going home after a C-section
  • Vaginal birth after C-section

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Twins, Triplets, Multiple Births

If you are pregnant with more than one baby, you are far from alone. Multiple births are up in the United States. More women are having babies after age 30 and more are taking fertility drugs. Both boost the chance of carrying more than one baby. A family history of twins also makes multiples more likely.

Years ago, most twins came as a surprise. Now, most women know about a multiple pregnancy early. Women with multiple pregnancies should see their health care providers more often than women who are expecting one baby. Multiple pregnancy babies have a much higher risk of being born prematurely and having a low birth weight. There is also more of a risk of disabilities. Some women have to go on bed rest to delay labor. Finally, they may deliver by C-section, especially if there are three babies or more.

Parenting multiples can be a challenge. Volunteer help and support groups for parents of multiples can help.

Dept. of Health and Human Services Office on Women's Health

[Read More]
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