ICD-10 Code Z38.31

Twin liveborn infant, delivered by cesarean

Version 2019 Billable Code Perinatal/newborn Diagnoses POA Exempt
ICD-10:Z38.31
Short Description:Twin liveborn infant, delivered by cesarean
Long Description:Twin liveborn infant, delivered by cesarean

Valid for Submission

ICD-10 Z38.31 is a billable code used to specify a medical diagnosis of twin liveborn infant, delivered by cesarean. 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 Z38.31 to ICD-9

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

  • V31.01 - Twin-mate lb-in hos w cs (Approximate Flag)
  • V32.01 - Twin-mate sb-hosp w cs (Approximate Flag)
  • V33.01 - Twin-NOS-in hosp w cs (Approximate Flag)

Present on Admission (POA)

Z38.31 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 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

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:


Information for Patients


Cesarean Section

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)

[Read More]

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


[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.