Z38.01 is a billable ICD-10 code used to specify a medical diagnosis of single liveborn infant, delivered by cesarean. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 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 Z38.01 is applicable to newborn patients only. It is clinically and virtually impossible to use this code on a non-newborn patient.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Born by cesarean section
- Born by elective cesarean section
- Born by emergency cesarean section
- Liveborn born in hospital
- Liveborn born in hospital by cesarean section
- Single liveborn born in hospital by cesarean section
Index to Diseases and Injuries References
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 this diagnosis code are found in the injuries and diseases index:
- - Infant (s) - See Also: Infancy;
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:
Present on Admission (POA)
Convert to ICD-9 Code
|Source ICD-10 Code||Target ICD-9 Code|
|Z38.01||V30.01 - Single lb in-hosp w cs|
|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.|
What is a Cesarean section (C-section)?
A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through your abdomen (belly). In the United States, almost one in three babies are born this way. Some C-sections are planned. Others are emergency C-sections, which are done when unexpected problems happen during delivery.
When is a Cesarean section (C-section) needed?
You may need a C-section because:
- You have health problems, including infection
- You are carrying more than one baby
- Your baby is too big
- Your baby is in the wrong position
- Your baby’s health is in danger
- Labor is not moving along as it should
- There are problems with your placenta (the organ that brings oxygen and nutrients to your baby)
Not everyone who has had a C-section before will need another one next time. You may be able to have a vaginal birth after Cesarean (VBAC). Talk to your health care provider about what is right for you.
How is a Cesarean section (C-section) done?
Before the surgery, you will be given pain medicine. Depending on your circumstances, you might get:
- An epidural block, which numbs the lower part of the body through an injection in the spine.
- A spinal block, which numbs the lower part of the body through an injection directly into the spinal fluid.
- General anesthesia, which makes you unconscious during the surgery. This is often used during emergency C-sections.
During the surgery, the surgeon will:
- Make a cut in your abdomen and uterus. The cut is usually horizontal, but in some cases it may be vertical.
- Open the amniotic sac and take out your baby.
- Cut the umbilical cord and the placenta.
- Close the uterus and abdomen with stitches that will later dissolve.
What are the risks of a Cesarean section (C-section)?
A C-section is relatively safe for you and your baby. But it is still a major surgery, and it carries risks. They may include:
- Blood loss
- Blood clots in the legs, pelvic organs, or lungs
- Injury to surrounding structures, such as the bowel or bladder
- A reaction to the medicines or anesthesia used
Some of these risks do also apply to a vaginal birth. But it does take longer to recover from a C-section than from a vaginal birth. And a C-section can raise the risk of having difficulties with future pregnancies. The more C-sections you have, the more the risk goes up.
NIH: National Institute of Child Health and Human Development
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- 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 (First year ICD-10-CM implemented into the HIPAA code set)