ICD-10-CM Code Z38.7

Other multiple liveborn infant, born outside hospital

Version 2020 Billable Code Perinatal/newborn Diagnoses POA Exempt

Valid for Submission

Z38.7 is a billable code used to specify a medical diagnosis of other multiple liveborn infant, born outside hospital. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z38.7 might also be used to specify conditions or terms like multiple liveborn other than twins born outside hospital. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z38.7 is applicable to newborn patients only. It is clinically and virtually impossible to use this code on a non-newborn patient.

ICD-10:Z38.7
Short Description:Other multiple liveborn infant, born outside hospital
Long Description:Other multiple liveborn infant, 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 Z38.7 are found in the index:


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).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Multiple liveborn other than twins born outside hospital

Present on Admission (POA)

Z38.7 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 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

Convert Z38.7 to ICD-9

  • V34.1 - Oth mult nb-before adm (Approximate Flag)
  • V34.2 - Oth multiple nb-nonhosp (Approximate Flag)
  • V35.1 - Oth mult sb-before adm (Approximate Flag)
  • V35.2 - Oth multiple sb-nonhosp (Approximate Flag)
  • V36.1 - Mult nb/sb-before adm (Approximate Flag)
  • V36.2 - Multiple nb/sb-nonhosp (Approximate Flag)
  • V37.1 - Mult brth NOS-before adm (Approximate Flag)
  • V37.2 - Mult birth NOS-nonhosp (Approximate Flag)

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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]