ICD-10 Code Z38.1

Single liveborn infant, born outside hospital

Version 2019 Billable Code Perinatal/newborn Diagnoses POA Exempt
ICD-10:Z38.1
Short Description:Single liveborn infant, born outside hospital
Long Description:Single liveborn infant, born outside hospital

Valid for Submission

ICD-10 Z38.1 is a billable code used to specify a medical diagnosis of single liveborn infant, born outside hospital. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • 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 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:

  • Perinatal/Newborn diagnoses - Newborn. Age of 0 years; a subset of diagnoses intended only for newborns and neonates (e.g., fetal distress, perinatal jaundice).

Convert Z38.1 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • V30.1 - Singl livebrn-before adm (Approximate Flag)
  • V30.2 - Single liveborn-nonhosp (Approximate Flag)
  • V39.1 - Liveborn NOS-before adm (Approximate Flag)
  • V39.2 - Liveborn NOS-nonhosp (Approximate Flag)

Present on Admission (POA)

Z38.1 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.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Synonyms

The following clinical terms are approximate synonyms:

  • Born at home
  • Born before arrival
  • Born before arrival of midwife
  • Born before arrival to hospital
  • Born in ambulance
  • Livebirth born before admission to hospital
  • Singleton liveborn born outside hospital

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 Z38.1 are found in the index:


Information for Patients


Childbirth

When you are ready to have your baby, you'll go through labor. Labor is the process of giving birth. Signs that you might be going into labor include

  • Contractions that are regular then start to come closer together
  • Leaking fluid or bleeding from the vagina
  • Low, dull backache
  • Abdominal cramps

Call your health care provider if you have any of these signs, even if it is before your due date. Preterm labor can start before 37 completed weeks of pregnancy.

Labor happens in three stages. The first stage begins with contractions. It continues until your cervix has become thinner and dilated (stretched) to about 4 inches wide. The second stage is the active stage, in which you begin to push downward. Crowning is when your baby's scalp comes into view. Shortly afterward, your baby is born. In the third stage, you deliver the placenta. The placenta is the organ that supplied food and oxygen to your baby during pregnancy.

Mothers and babies are monitored closely during labor. Most women are able to have a baby through normal vaginal delivery. If there are complications, the baby may need to be delivered surgically by a Cesarean section.

NIH: National Institute of Child Health and Human Development

  • Am I in labor? (Medical Encyclopedia)
  • Assisted delivery with forceps (Medical Encyclopedia)
  • Delivery presentations (Medical Encyclopedia)
  • Delivery presentations (Medical Encyclopedia)
  • Epidural block (Medical Encyclopedia)
  • Episiotomy (Medical Encyclopedia)
  • Spinal and epidural anesthesia (Medical Encyclopedia)
  • What you should bring to your labor and delivery (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
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.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.