ICD-10-CM Code Z39.2

Encounter for routine postpartum follow-up

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z39.2 is a billable code used to specify a medical diagnosis of encounter for routine postpartum follow-up. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z39.2 might also be used to specify conditions or terms like color of lochia - finding, early postpartum state, finding of consistency of lochia, finding of consistency of lochia, finding of involution of uterus, finding of involution of uterus, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z39.2 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:Z39.2
Short Description:Encounter for routine postpartum follow-up
Long Description:Encounter for routine postpartum follow-up

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 Z39.2 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:

  • Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .
  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

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

  • Color of lochia - finding
  • Early postpartum state
  • Finding of consistency of lochia
  • Finding of consistency of lochia
  • Finding of involution of uterus
  • Finding of involution of uterus
  • Finding of involution of uterus
  • Finding of involution of uterus
  • Late postpartum state
  • Lochia absent
  • Lochia ceased
  • Lochia minimal
  • Lochia normal
  • Lochia present
  • Lochia reducing
  • Lochia rubra
  • Lochia scanty
  • Lochia thick
  • Lochia watery
  • Loss of fundal mass after delivery
  • Mid postpartum state
  • No further involution of the uterus
  • P/N - shared care
  • P/N care from consultant
  • Postnatal care from general practitioner
  • Postnatal care greater than 48 hours after birth
  • Postnatal care provider
  • Postnatal care provider
  • Postnatal care provider
  • Postnatal care status
  • Postpartum period, 1 day
  • Postpartum period, 2 days
  • Postpartum period, 3 days
  • Postpartum period, 4 days
  • Postpartum period, 5 days
  • Postpartum period, 6 days
  • Postpartum period, 7 days
  • Postpartum state, 2 weeks
  • Postpartum state, 3 weeks
  • Postpartum state, 4 weeks
  • Postpartum state, 5 weeks
  • Postpartum state, 6 weeks
  • Postpartum state, 7 weeks
  • Postpartum state, 8 weeks
  • Postpartum state, 9 weeks
  • Quantity of lochia - finding
  • Quantity of lochia - finding
  • Uterus involuted
  • Uterus involuting

Present on Admission (POA)

Z39.2 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 Z39.2 to ICD-9

  • V24.2 - Rout postpart follow-up

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in circumstances related to reproduction (Z30-Z39)
      • Encounter for maternal postpartum care and examination (Z39)

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


Postpartum Care

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

  • Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
  • You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
  • Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
  • Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Dept. of Health and Human Services Office on Women's Health


[Learn More]