2022 ICD-10-CM Code Z37.60
Multiple births, unspecified, some liveborn
Code Classification
Z37.60 is a billable diagnosis code used to specify a medical diagnosis of multiple births, unspecified, some liveborn. The code Z37.60 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Z37.60 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.
Unspecified diagnosis codes like Z37.60 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Entries in the Index to Diseases and Injuries with references to Z37.60
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 Z37.60 are found in the index:
- - Outcome of delivery - Z37.9
- - multiple births - Z37.9
- - some liveborn - Z37.60
- - multiple births - Z37.9
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 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 .
- Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
- Outcome of delivery diagnoses codes - Outcome of delivery diagnoses codes.
Present on Admission (POA)
Z37.60 is exempt from POA reporting - 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. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
| POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert Z37.60 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z37.60 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- V27.6 - Del-mult brth, some live (Approximate Flag)
Information for Patients
Stillbirth
If a woman loses a pregnancy after she's past her 20th week, it's called a stillbirth. Stillbirths are due to natural causes. They can happen before delivery or during delivery. Causes include:
- Problems with the placenta, the organ that transports oxygen and nutrients to the fetus
- Genetic problems with the fetus
- Fetal infections
- Other physical problems in the fetus
In at least half of all cases, it is not possible to tell why the baby died.
If stillbirth happens before delivery, your health care provider may induce labor or perform a Cesarean section to deliver the fetus. In some cases, you can wait until you go into labor yourself. This usually happens within two weeks of stillbirth.
Counseling may help you cope with your grief. Later, if you do decide to try again, work closely with your health care provider to lower the risks. Many women who have a stillbirth go on to have healthy babies.
NIH: National Institute of Child Health and Human Development
[Learn More in MedlinePlus]
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
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| Z37 | Outcome of delivery | NON-BILLABLE CODE |
| Z37.0 | Single live birth | BILLABLE CODE |
| Z37.1 | Single stillbirth | BILLABLE CODE |
| Z37.2 | Twins, both liveborn | BILLABLE CODE |
| Z37.3 | Twins, one liveborn and one stillborn | BILLABLE CODE |
| Z37.4 | Twins, both stillborn | BILLABLE CODE |
| Z37.5 | Other multiple births, all liveborn | NON-BILLABLE CODE |
| Z37.50 | Multiple births, unspecified, all liveborn | BILLABLE CODE |
| Z37.51 | Triplets, all liveborn | BILLABLE CODE |
| Z37.52 | Quadruplets, all liveborn | BILLABLE CODE |
| Z37.53 | Quintuplets, all liveborn | BILLABLE CODE |
| Z37.54 | Sextuplets, all liveborn | BILLABLE CODE |
| Z37.59 | Other multiple births, all liveborn | BILLABLE CODE |
| Z37.6 | Other multiple births, some liveborn | NON-BILLABLE CODE |
| Z37.61 | Triplets, some liveborn | BILLABLE CODE |
| Z37.62 | Quadruplets, some liveborn | BILLABLE CODE |
| Z37.63 | Quintuplets, some liveborn | BILLABLE CODE |
| Z37.64 | Sextuplets, some liveborn | BILLABLE CODE |
| Z37.69 | Other multiple births, some liveborn | BILLABLE CODE |
| Z37.7 | Other multiple births, all stillborn | BILLABLE CODE |
| Z37.9 | Outcome of delivery, unspecified | BILLABLE CODE |
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)