Valid for Submission
Z38.31 is a billable diagnosis code used to specify a medical diagnosis of twin liveborn infant, delivered by cesarean. The code Z38.31 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Z38.31 might also be used to specify conditions or terms like born by cesarean section, liveborn born in hospital, liveborn born in hospital by cesarean section, twin liveborn born in hospital or twin liveborn born in hospital by cesarean section. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Z38.31 is applicable to newborn patients only. It is clinically and virtually impossible to use this code on a non-newborn patient.
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 Z38.31 are found in the 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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Born by cesarean section
- Liveborn born in hospital
- Liveborn born in hospital by cesarean section
- Twin liveborn born in hospital
- Twin liveborn born in hospital by cesarean section
Present on Admission (POA)
Convert Z38.31 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z38.31 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.
Information for Patients
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 (Medical Encyclopedia)
- C-section (Medical Encyclopedia)
- Going home after a C-section (Medical Encyclopedia)
- Vaginal birth after C-section (Medical Encyclopedia)
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