Not Valid for Submission
O99.32 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of drug use complicating pregnancy, childbirth, and the puerperium. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Drug use comp pregnancy, childbirth, and the puerperium
Header codes like O99.32 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for drug use comp pregnancy, childbirth, and the puerperium:
- O99.320 - Drug use complicating pregnancy, unspecified trimester
- O99.321 - Drug use complicating pregnancy, first trimester
- O99.322 - Drug use complicating pregnancy, second trimester
- O99.323 - Drug use complicating pregnancy, third trimester
- O99.324 - Drug use complicating childbirth
- O99.325 - Drug use complicating the puerperium
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O99.32:
Use Additional CodeUse Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O99.32 are found in the index:
Information for Patients
While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include
- Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
- Problems with the umbilical cord
- Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
- Birth injuries
For some of these problems, the baby may need to be delivered surgically by a Cesarean section.
- Assisted delivery with forceps (Medical Encyclopedia)
- Brachial plexus injury in newborns (Medical Encyclopedia)
- Breech birth (Medical Encyclopedia)
- Caput succedaneum (Medical Encyclopedia)
- Meconium aspiration syndrome (Medical Encyclopedia)
- Premature rupture of membranes (Medical Encyclopedia)
Also called: Post-pregnancy health
Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.
- Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
- You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
- Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
- Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.
In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.
Dept. of Health and Human Services Office on Women's Health
- After vaginal delivery - in the hospital (Medical Encyclopedia)
- Losing weight after pregnancy (Medical Encyclopedia)
- Questions to ask your doctor about going home with your baby (Medical Encyclopedia)
- Questions to ask your doctor about post pregnancy care (Medical Encyclopedia)
- Vaginal delivery - discharge (Medical Encyclopedia)
Pregnancy and Substance Abuse
When you are pregnant, you are not just "eating for two." You also breathe and drink for two. If you smoke, use alcohol or take illegal drugs, so does your unborn baby.
To protect your baby, you should avoid
- Tobacco. Smoking during pregnancy passes nicotine, carbon monoxide, and other harmful chemicals to your baby. This could cause many problems for your unborn baby's development. It raises the risk of your baby being born too small, too early, or with birth defects. Smoking can also affect babies after they are born. Your baby would be more likely to develop diseases such as asthma and obesity. There is also a higher risk of dying from sudden infant death syndrome (SIDS).
- Drinking alcohol. There is no known amount of alcohol that is safe for a woman to drink during pregnancy. If you drink alcohol when you are pregnant, your child could be born with lifelong fetal alcohol syndrome disorders (FASD). Children with FASD can have a mix of physical, behavioral, and learning problems.
- Illegal drugs. Using illegal drugs such as cocaine and methamphetamines may cause underweight babies, birth defects, or withdrawal symptoms after birth.
- Misusing prescription drugs. If you are taking prescription medicines, carefully follow your health care provider's instructions. It can be dangerous to take more medicines than you are supposed to, use them to get high, or take someone else's medicines. For example, misusing opioids can cause birth defects, withdrawal in the baby, or even loss of the baby.
If you are pregnant and you are doing any of these things, get help. Your healthcare provider can recommend programs to help you quit. You and your baby's health depend on it.
Dept. of Health and Human Services Office on Women's Health
- Alcohol and pregnancy (Medical Encyclopedia)
- Neonatal abstinence syndrome (Medical Encyclopedia)
- Smoking and Pregnancy (Centers for Disease Control and Prevention)