Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up Plan (2021)
| eCQMs / NQF #: | CMS69v9 / XXXX |
| Measure: | Percentage of patients aged 18 years and older with a BMI documented during the current encounter or within the previous twelve months AND who had a follow-up plan documented if most recent BMI was outside of normal parameters. |
| Numerator: | Patients with a documented BMI during the encounter or during the previous twelve months, AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter. |
| Denominator: | All patients aged 18 and older on the date of the encounter with at least one eligible encounter during the measurement period. |
| Denominator Exclusion: | Patients who are pregnant.
Patients receiving palliative or hospice care. |
| Denominator Exceptions: | Patients with a documented medical reason for not documenting BMI or for not documenting a follow-up plan for a BMI outside normal parameters (e.g., elderly patients (65 or older) for whom weight reduction/weight gain would complicate other underlying health conditions such as illness or physical disability, mental illness, dementia, confusion, or nutritional deficiency such as vitamin/mineral deficiency; patients in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status).
Patients who refuse measurement of height and/or weight. |
| Domain: | Community/Population Health |
In ChartMaker Clinical:
In order to qualify for this measure, the provider must have seen the patient, age 18 and older, at least one time during the reporting period and have the appropriate information documented in the chart:
Required Data Elements for the Denominator:
This is captured by adding a procedure with a valid CPT, HCPCS, or SNOMED code using the Procedure widget in a note.
| CPT/HCPCS: | |
| Code | Description |
| 90791 | Psychiatric diagnostic evaluation |
| 90792 | Psychiatric diagnostic evaluation with medical services |
| 90832 | Psychotherapy, 30 minutes with patient |
| 90834 | Psychotherapy, 45 minutes with patient |
| 90837 | Psychotherapy, 60 minutes with patient |
| 96156 | Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) |
| 96158 | Health behavior intervention, individual, face-to-face; initial 30 minutes |
| 96159 | Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service) |
| 97161 | Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. |
| 97162 | Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
| 97163 | Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
| 97165 | Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
| 97166 | Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
| 97167 | Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
| 97802 | Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
| 97803 | Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family. |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. |
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family. |
| 99236 | Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually the presenting problem(s) requiring admission are of high severity. Typically, 55 minutes are spent at the bedside and on the patient’s hospital floor or unit. |
| 99304 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of low severity. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99305 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99306 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of high severity. Typically, 45 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99307 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Typically, 10 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99308 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 15 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99309 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient has developed a significant complication or a significant new problem. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99310 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99315 | Nursing facility discharge day management; 30 minutes or less |
| 99316 | Nursing facility discharge day management; more than 30 minutes |
| 99318 | Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Typically, 30 minutes are spent at the bedside and on the patient’s facility floor or unit. |
| 99324 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver. |
| 99325 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver. |
| 99326 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver. |
| 99327 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver. |
| 99328 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver. |
| 99334 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver. |
| 99335 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver. |
| 99336 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver. |
| 99337 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver. |
| 99339 | Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes |
| 99340 | Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more |
| 99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
| 99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
| 99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
| 99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
| 99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
| 99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
| 99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
| G0271 | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes |
| G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
| SNOMED: | |
| Code | Description |
| 10197000 | Psychiatric interview and evaluation (procedure) |
| 108220007 | Evaluation AND/OR management – new patient (procedure) |
| 108221006 | Evaluation AND/OR management – established patient (procedure) |
| 108224003 | Preventive patient evaluation (procedure) |
| 108311000 | Psychiatric procedure, interview AND/OR consultation (procedure) |
| 13607009 | Manual examination of breast (procedure) |
| 14736009 | History and physical examination with evaluation and management of patient (procedure) |
| 165171009 | Initial psychiatric evaluation (procedure) |
| 18512000 | Individual psychotherapy (regime/therapy) |
| 185349003 | Encounter for check up (procedure) |
| 185463005 | Visit out of hours (procedure) |
| 185465003 | Weekend visit (procedure) |
| 225967005 | Self-care patient education (procedure) |
| 270427003 | Patient-initiated encounter (procedure) |
| 270430005 | Provider-initiated encounter (procedure) |
| 308335008 | Patient encounter procedure (procedure) |
| 35025007 | Manual pelvic examination (procedure) |
| 386372009 | Nutrition management (regime/therapy) |
| 390906007 | Follow-up encounter (procedure) |
| 406547006 | Urgent follow-up (procedure) |
| 410155007 | Occupational therapy assessment (procedure) |
| 410157004 | Occupational therapy management (procedure) |
| 410158009 | Physical therapy assessment (procedure) |
| 410160006 | Physical therapy management (procedure) |
| 410170008 | Nutrition care assessment (procedure) |
| 410172000 | Nutrition care management (procedure) |
| 46662001 | Examination of breast (procedure) |
| 55162003 | Tooth extraction (procedure) |
| 68381003 | Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth (procedure) |
| 78318003 | History and physical examination, annual for health maintenance (procedure) |
| 83607001 | Gynecologic examination (procedure) |
| 8411005 | Interactive individual medical psychotherapy (regime/therapy) |
| 86013001 | Periodic reevaluation and management of healthy individual (procedure) |
| 90526000 | Initial evaluation and management of healthy individual (procedure) |
Denominator Exclusions & Exceptions:
If one of the following is documented, the patient will not be included in the denominator:
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| A34 | Obstetrical tetanus |
| O00.00 | Abdominal pregnancy without intrauterine pregnancy |
| O00.01 | Abdominal pregnancy with intrauterine pregnancy |
| O00.101 | Right tubal pregnancy without intrauterine pregnancy |
| O00.102 | Left tubal pregnancy without intrauterine pregnancy |
| O00.109 | Unspecified tubal pregnancy without intrauterine pregnancy |
| O00.111 | Right tubal pregnancy with intrauterine pregnancy |
| O00.112 | Left tubal pregnancy with intrauterine pregnancy |
| O00.119 | Unspecified tubal pregnancy with intrauterine pregnancy |
| O00.201 | Right ovarian pregnancy without intrauterine pregnancy |
| O00.202 | Left ovarian pregnancy without intrauterine pregnancy |
| O00.209 | Unspecified ovarian pregnancy without intrauterine pregnancy |
| O00.211 | Right ovarian pregnancy with intrauterine pregnancy |
| O00.212 | Left ovarian pregnancy with intrauterine pregnancy |
| O00.219 | Unspecified ovarian pregnancy with intrauterine pregnancy |
| O00.80 | Other ectopic pregnancy without intrauterine pregnancy |
| O00.81 | Other ectopic pregnancy with intrauterine pregnancy |
| O00.90 | Unspecified ectopic pregnancy without intrauterine pregnancy |
| O00.91 | Unspecified ectopic pregnancy with intrauterine pregnancy |
| O01.9 | Hydatidiform mole, unspecified |
| O02.0 | Blighted ovum and nonhydatidiform mole |
| O02.1 | Missed abortion |
| O03.0 | Genital tract and pelvic infection following incomplete spontaneous abortion |
| O03.1 | Delayed or excessive hemorrhage following incomplete spontaneous abortion |
| O03.2 | Embolism following incomplete spontaneous abortion |
| O03.30 | Unspecified complication following incomplete spontaneous abortion |
| O03.31 | Shock following incomplete spontaneous abortion |
| O03.32 | Renal failure following incomplete spontaneous abortion |
| O03.33 | Metabolic disorder following incomplete spontaneous abortion |
| O03.34 | Damage to pelvic organs following incomplete spontaneous abortion |
| O03.37 | Sepsis following incomplete spontaneous abortion |
| O03.39 | Incomplete spontaneous abortion with other complications |
| O03.4 | Incomplete spontaneous abortion without complication |
| O03.5 | Genital tract and pelvic infection following complete or unspecified spontaneous abortion |
| O03.6 | Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion |
| O03.7 | Embolism following complete or unspecified spontaneous abortion |
| O03.80 | Unspecified complication following complete or unspecified spontaneous abortion |
| O03.81 | Shock following complete or unspecified spontaneous abortion |
| O03.82 | Renal failure following complete or unspecified spontaneous abortion |
| O03.83 | Metabolic disorder following complete or unspecified spontaneous abortion |
| O03.84 | Damage to pelvic organs following complete or unspecified spontaneous abortion |
| O03.85 | Other venous complications following complete or unspecified spontaneous abortion |
| O03.86 | Cardiac arrest following complete or unspecified spontaneous abortion |
| O03.87 | Sepsis following complete or unspecified spontaneous abortion |
| O03.88 | Urinary tract infection following complete or unspecified spontaneous abortion |
| O03.89 | Complete or unspecified spontaneous abortion with other complications |
| O03.9 | Complete or unspecified spontaneous abortion without complication |
| O04.5 | Genital tract and pelvic infection following (induced) termination of pregnancy |
| O04.6 | Delayed or excessive hemorrhage following (induced) termination of pregnancy |
| O04.7 | Embolism following (induced) termination of pregnancy |
| O04.80 | (Induced) termination of pregnancy with unspecified complications |
| O04.81 | Shock following (induced) termination of pregnancy |
| O04.82 | Renal failure following (induced) termination of pregnancy |
| O04.83 | Metabolic disorder following (induced) termination of pregnancy |
| O04.84 | Damage to pelvic organs following (induced) termination of pregnancy |
| O04.85 | Other venous complications following (induced) termination of pregnancy |
| O04.86 | Cardiac arrest following (induced) termination of pregnancy |
| O04.87 | Sepsis following (induced) termination of pregnancy |
| O04.88 | Urinary tract infection following (induced) termination of pregnancy |
| O04.89 | (Induced) termination of pregnancy with other complications |
| O07.0 | Genital tract and pelvic infection following failed attempted termination of pregnancy |
| O07.1 | Delayed or excessive hemorrhage following failed attempted termination of pregnancy |
| O07.2 | Embolism following failed attempted termination of pregnancy |
| O07.30 | Failed attempted termination of pregnancy with unspecified complications |
| O07.31 | Shock following failed attempted termination of pregnancy |
| O07.32 | Renal failure following failed attempted termination of pregnancy |
| O07.33 | Metabolic disorder following failed attempted termination of pregnancy |
| O07.34 | Damage to pelvic organs following failed attempted termination of pregnancy |
| O07.35 | Other venous complications following failed attempted termination of pregnancy |
| O07.36 | Cardiac arrest following failed attempted termination of pregnancy |
| O07.37 | Sepsis following failed attempted termination of pregnancy |
| O07.38 | Urinary tract infection following failed attempted termination of pregnancy |
| O07.39 | Failed attempted termination of pregnancy with other complications |
| O07.4 | Failed attempted termination of pregnancy without complication |
| O08.0 | Genital tract and pelvic infection following ectopic and molar pregnancy |
| O08.1 | Delayed or excessive hemorrhage following ectopic and molar pregnancy |
| O08.2 | Embolism following ectopic and molar pregnancy |
| O08.3 | Shock following ectopic and molar pregnancy |
| O08.4 | Renal failure following ectopic and molar pregnancy |
| O08.5 | Metabolic disorders following an ectopic and molar pregnancy |
| O08.6 | Damage to pelvic organs and tissues following an ectopic and molar pregnancy |
| O08.7 | Other venous complications following an ectopic and molar pregnancy |
| O08.81 | Cardiac arrest following an ectopic and molar pregnancy |
| O08.82 | Sepsis following ectopic and molar pregnancy |
| O08.83 | Urinary tract infection following an ectopic and molar pregnancy |
| O08.89 | Other complications following an ectopic and molar pregnancy |
| O08.9 | Unspecified complication following an ectopic and molar pregnancy |
| O09.00 | Supervision of pregnancy with history of infertility, unspecified trimester |
| O09.10 | Supervision of pregnancy with history of ectopic pregnancy, unspecified trimester |
| O09.11 | Supervision of pregnancy with history of ectopic pregnancy, first trimester |
| O09.12 | Supervision of pregnancy with history of ectopic pregnancy, second trimester |
| O09.13 | Supervision of pregnancy with history of ectopic pregnancy, third trimester |
| O09.211 | Supervision of pregnancy with history of pre-term labor, first trimester |
| O09.291 | Supervision of pregnancy with other poor reproductive or obstetric history, first trimester |
| O09.30 | Supervision of pregnancy with insufficient antenatal care, unspecified trimester |
| O09.40 | Supervision of pregnancy with grand multiparity, unspecified trimester |
| O09.41 | Supervision of pregnancy with grand multiparity, first trimester |
| O09.42 | Supervision of pregnancy with grand multiparity, second trimester |
| O09.43 | Supervision of pregnancy with grand multiparity, third trimester |
| O09.511 | Supervision of elderly primigravida, first trimester |
| O09.512 | Supervision of elderly primigravida, second trimester |
| O09.513 | Supervision of elderly primigravida, third trimester |
| O09.519 | Supervision of elderly primigravida, unspecified trimester |
| O09.521 | Supervision of elderly multigravida, first trimester |
| O09.522 | Supervision of elderly multigravida, second trimester |
| O09.523 | Supervision of elderly multigravida, third trimester |
| O09.529 | Supervision of elderly multigravida, unspecified trimester |
| O09.611 | Supervision of young primigravida, first trimester |
| O09.621 | Supervision of young multigravida, first trimester |
| O09.819 | Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester |
| O09.821 | Supervision of pregnancy with history of in utero procedure during previous pregnancy, first trimester |
| O09.822 | Supervision of pregnancy with history of in utero procedure during previous pregnancy, second trimester |
| O09.823 | Supervision of pregnancy with history of in utero procedure during previous pregnancy, third trimester |
| O09.829 | Supervision of pregnancy with history of in utero procedure during previous pregnancy, unspecified trimester |
| O09.891 | Supervision of other high risk pregnancies, first trimester |
| O09.892 | Supervision of other high risk pregnancies, second trimester |
| O09.893 | Supervision of other high risk pregnancies, third trimester |
| O09.899 | Supervision of other high risk pregnancies, unspecified trimester |
| O09.90 | Supervision of high risk pregnancy, unspecified, unspecified trimester |
| O09.91 | Supervision of high risk pregnancy, unspecified, first trimester |
| O09.92 | Supervision of high risk pregnancy, unspecified, second trimester |
| O09.93 | Supervision of high risk pregnancy, unspecified, third trimester |
| O09.A0 | Supervision of pregnancy with history of molar pregnancy, unspecified trimester |
| O09.A1 | Supervision of pregnancy with history of molar pregnancy, first trimester |
| O09.A2 | Supervision of pregnancy with history of molar pregnancy, second trimester |
| O09.A3 | Supervision of pregnancy with history of molar pregnancy, third trimester |
| O10.011 | Pre-existing essential hypertension complicating pregnancy, first trimester |
| O10.012 | Pre-existing essential hypertension complicating pregnancy, second trimester |
| O10.013 | Pre-existing essential hypertension complicating pregnancy, third trimester |
| O10.019 | Pre-existing essential hypertension complicating pregnancy, unspecified trimester |
| O10.03 | Pre-existing essential hypertension complicating the puerperium |
| O10.111 | Pre-existing hypertensive heart disease complicating pregnancy, first trimester |
| O10.112 | Pre-existing hypertensive heart disease complicating pregnancy, second trimester |
| O10.113 | Pre-existing hypertensive heart disease complicating pregnancy, third trimester |
| O10.119 | Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimester |
| O10.12 | Pre-existing hypertensive heart disease complicating childbirth |
| O10.13 | Pre-existing hypertensive heart disease complicating the puerperium |
| O10.211 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester |
| O10.212 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester |
| O10.213 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester |
| O10.219 | Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester |
| O10.22 | Pre-existing hypertensive chronic kidney disease complicating childbirth |
| O10.23 | Pre-existing hypertensive chronic kidney disease complicating the puerperium |
| O10.311 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester |
| O10.312 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester |
| O10.313 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester |
| O10.319 | Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimester |
| O10.32 | Pre-existing hypertensive heart and chronic kidney disease complicating childbirth |
| O10.33 | Pre-existing hypertensive heart and chronic kidney disease complicating the puerperium |
| O10.411 | Pre-existing secondary hypertension complicating pregnancy, first trimester |
| O10.412 | Pre-existing secondary hypertension complicating pregnancy, second trimester |
| O10.413 | Pre-existing secondary hypertension complicating pregnancy, third trimester |
| O10.419 | Pre-existing secondary hypertension complicating pregnancy, unspecified trimester |
| O10.42 | Pre-existing secondary hypertension complicating childbirth |
| O10.43 | Pre-existing secondary hypertension complicating the puerperium |
| O10.911 | Unspecified pre-existing hypertension complicating pregnancy, first trimester |
| O10.912 | Unspecified pre-existing hypertension complicating pregnancy, second trimester |
| O10.913 | Unspecified pre-existing hypertension complicating pregnancy, third trimester |
| O10.919 | Unspecified pre-existing hypertension complicating pregnancy, unspecified trimester |
| O10.92 | Unspecified pre-existing hypertension complicating childbirth |
| O10.93 | Unspecified pre-existing hypertension complicating the puerperium |
| O11.1 | Pre-existing hypertension with pre-eclampsia, first trimester |
| O11.2 | Pre-existing hypertension with pre-eclampsia, second trimester |
| O11.3 | Pre-existing hypertension with pre-eclampsia, third trimester |
| O11.4 | Pre-existing hypertension with pre-eclampsia, complicating childbirth |
| O11.5 | Pre-existing hypertension with pre-eclampsia, complicating the puerperium |
| O11.9 | Pre-existing hypertension with pre-eclampsia, unspecified trimester |
| O12.00 | Gestational edema, unspecified trimester |
| O12.01 | Gestational edema, first trimester |
| O12.02 | Gestational edema, second trimester |
| O12.03 | Gestational edema, third trimester |
| O12.04 | Gestational edema, complicating childbirth |
| O12.05 | Gestational edema, complicating the puerperium |
| O12.10 | Gestational proteinuria, unspecified trimester |
| O12.11 | Gestational proteinuria, first trimester |
| O12.12 | Gestational proteinuria, second trimester |
| O12.13 | Gestational proteinuria, third trimester |
| O12.20 | Gestational edema with proteinuria, unspecified trimester |
| O12.21 | Gestational edema with proteinuria, first trimester |
| O12.22 | Gestational edema with proteinuria, second trimester |
| O12.23 | Gestational edema with proteinuria, third trimester |
| O12.24 | Gestational edema with proteinuria, complicating childbirth |
| O12.25 | Gestational edema with proteinuria, complicating the puerperium |
| O13.1 | Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester |
| O13.2 | Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester |
| O13.3 | Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester |
| O13.4 | Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth |
| O13.5 | Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium |
| O13.9 | Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester |
| O14.00 | Mild to moderate pre-eclampsia, unspecified trimester |
| O14.02 | Mild to moderate pre-eclampsia, second trimester |
| O14.03 | Mild to moderate pre-eclampsia, third trimester |
| O14.04 | Mild to moderate pre-eclampsia, complicating childbirth |
| O14.05 | Mild to moderate pre-eclampsia, complicating the puerperium |
| O14.10 | Severe pre-eclampsia, unspecified trimester |
| O14.12 | Severe pre-eclampsia, second trimester |
| O14.13 | Severe pre-eclampsia, third trimester |
| O14.14 | Severe pre-eclampsia complicating childbirth |
| O14.15 | Severe pre-eclampsia, complicating the puerperium |
| O14.20 | HELLP syndrome (HELLP), unspecified trimester |
| O14.22 | HELLP syndrome (HELLP), second trimester |
| O14.23 | HELLP syndrome (HELLP), third trimester |
| O14.24 | HELLP syndrome, complicating childbirth |
| O14.25 | HELLP syndrome, complicating the puerperium |
| O14.90 | Unspecified pre-eclampsia, unspecified trimester |
| O14.92 | Unspecified pre-eclampsia, second trimester |
| O14.93 | Unspecified pre-eclampsia, third trimester |
| O14.94 | Unspecified pre-eclampsia, complicating childbirth |
| O14.95 | Unspecified pre-eclampsia, complicating the puerperium |
| O15.02 | Eclampsia complicating pregnancy, second trimester |
| O15.03 | Eclampsia complicating pregnancy, third trimester |
| O15.1 | Eclampsia complicating labor |
| O15.2 | Eclampsia complicating the puerperium |
| O16.1 | Unspecified maternal hypertension, first trimester |
| O16.2 | Unspecified maternal hypertension, second trimester |
| O16.3 | Unspecified maternal hypertension, third trimester |
| O16.4 | Unspecified maternal hypertension, complicating childbirth |
| O16.5 | Unspecified maternal hypertension, complicating the puerperium |
| O16.9 | Unspecified maternal hypertension, unspecified trimester |
| O20.0 | Threatened abortion |
| O20.8 | Other hemorrhage in early pregnancy |
| O20.9 | Hemorrhage in early pregnancy, unspecified |
| O21.0 | Mild hyperemesis gravidarum |
| O21.2 | Late vomiting of pregnancy |
| O21.8 | Other vomiting complicating pregnancy |
| O21.9 | Vomiting of pregnancy, unspecified |
| O22.00 | Varicose veins of lower extremity in pregnancy, unspecified trimester |
| O22.01 | Varicose veins of lower extremity in pregnancy, first trimester |
| O22.02 | Varicose veins of lower extremity in pregnancy, second trimester |
| O22.03 | Varicose veins of lower extremity in pregnancy, third trimester |
| O22.10 | Genital varices in pregnancy, unspecified trimester |
| O22.11 | Genital varices in pregnancy, first trimester |
| O22.12 | Genital varices in pregnancy, second trimester |
| O22.13 | Genital varices in pregnancy, third trimester |
| O22.20 | Superficial thrombophlebitis in pregnancy, unspecified trimester |
| O22.21 | Superficial thrombophlebitis in pregnancy, first trimester |
| O22.22 | Superficial thrombophlebitis in pregnancy, second trimester |
| O22.23 | Superficial thrombophlebitis in pregnancy, third trimester |
| O22.30 | Deep phlebothrombosis in pregnancy, unspecified trimester |
| O22.31 | Deep phlebothrombosis in pregnancy, first trimester |
| O22.32 | Deep phlebothrombosis in pregnancy, second trimester |
| O22.33 | Deep phlebothrombosis in pregnancy, third trimester |
| O22.40 | Hemorrhoids in pregnancy, unspecified trimester |
| O22.41 | Hemorrhoids in pregnancy, first trimester |
| O22.42 | Hemorrhoids in pregnancy, second trimester |
| O22.43 | Hemorrhoids in pregnancy, third trimester |
| O22.50 | Cerebral venous thrombosis in pregnancy, unspecified trimester |
| O22.51 | Cerebral venous thrombosis in pregnancy, first trimester |
| O22.52 | Cerebral venous thrombosis in pregnancy, second trimester |
| O22.53 | Cerebral venous thrombosis in pregnancy, third trimester |
| O22.90 | Venous complication in pregnancy, unspecified, unspecified trimester |
| O22.91 | Venous complication in pregnancy, unspecified, first trimester |
| O22.92 | Venous complication in pregnancy, unspecified, second trimester |
| O22.93 | Venous complication in pregnancy, unspecified, third trimester |
| O23.00 | Infections of kidney in pregnancy, unspecified trimester |
| O23.10 | Infections of bladder in pregnancy, unspecified trimester |
| O23.20 | Infections of urethra in pregnancy, unspecified trimester |
| O23.30 | Infections of other parts of urinary tract in pregnancy, unspecified trimester |
| O23.40 | Unspecified infection of urinary tract in pregnancy, unspecified trimester |
| O23.41 | Unspecified infection of urinary tract in pregnancy, first trimester |
| O23.42 | Unspecified infection of urinary tract in pregnancy, second trimester |
| O23.43 | Unspecified infection of urinary tract in pregnancy, third trimester |
| O23.519 | Infections of cervix in pregnancy, unspecified trimester |
| O23.529 | Salpingo-oophoritis in pregnancy, unspecified trimester |
| O23.599 | Infection of other part of genital tract in pregnancy, unspecified trimester |
| O23.90 | Unspecified genitourinary tract infection in pregnancy, unspecified trimester |
| O23.91 | Unspecified genitourinary tract infection in pregnancy, first trimester |
| O23.92 | Unspecified genitourinary tract infection in pregnancy, second trimester |
| O23.93 | Unspecified genitourinary tract infection in pregnancy, third trimester |
| O24.319 | Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester |
| O24.32 | Unspecified pre-existing diabetes mellitus in childbirth |
| O24.415 | Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs |
| O24.419 | Gestational diabetes mellitus in pregnancy, unspecified control |
| O24.425 | Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs |
| O24.429 | Gestational diabetes mellitus in childbirth, unspecified control |
| O24.435 | Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs |
| O24.439 | Gestational diabetes mellitus in the puerperium, unspecified control |
| O24.911 | Unspecified diabetes mellitus in pregnancy, first trimester |
| O24.912 | Unspecified diabetes mellitus in pregnancy, second trimester |
| O24.913 | Unspecified diabetes mellitus in pregnancy, third trimester |
| O24.92 | Unspecified diabetes mellitus in childbirth |
| O24.93 | Unspecified diabetes mellitus in the puerperium |
| O25.10 | Malnutrition in pregnancy, unspecified trimester |
| O25.11 | Malnutrition in pregnancy, first trimester |
| O25.12 | Malnutrition in pregnancy, second trimester |
| O25.13 | Malnutrition in pregnancy, third trimester |
| O25.2 | Malnutrition in childbirth |
| O25.3 | Malnutrition in the puerperium |
| O26.00 | Excessive weight gain in pregnancy, unspecified trimester |
| O26.01 | Excessive weight gain in pregnancy, first trimester |
| O26.02 | Excessive weight gain in pregnancy, second trimester |
| O26.03 | Excessive weight gain in pregnancy, third trimester |
| O26.11 | Low weight gain in pregnancy, first trimester |
| O26.12 | Low weight gain in pregnancy, second trimester |
| O26.13 | Low weight gain in pregnancy, third trimester |
| O26.20 | Pregnancy care for patient with recurrent pregnancy loss, unspecified trimester |
| O26.21 | Pregnancy care for patient with recurrent pregnancy loss, first trimester |
| O26.22 | Pregnancy care for patient with recurrent pregnancy loss, second trimester |
| O26.23 | Pregnancy care for patient with recurrent pregnancy loss, third trimester |
| O26.41 | Herpes gestationis, first trimester |
| O26.42 | Herpes gestationis, second trimester |
| O26.43 | Herpes gestationis, third trimester |
| O26.50 | Maternal hypotension syndrome, unspecified trimester |
| O26.51 | Maternal hypotension syndrome, first trimester |
| O26.52 | Maternal hypotension syndrome, second trimester |
| O26.53 | Maternal hypotension syndrome, third trimester |
| O26.611 | Liver and biliary tract disorders in pregnancy, first trimester |
| O26.612 | Liver and biliary tract disorders in pregnancy, second trimester |
| O26.613 | Liver and biliary tract disorders in pregnancy, third trimester |
| O26.619 | Liver and biliary tract disorders in pregnancy, unspecified trimester |
| O26.62 | Liver and biliary tract disorders in childbirth |
| O26.811 | Pregnancy related exhaustion and fatigue, first trimester |
| O26.812 | Pregnancy related exhaustion and fatigue, second trimester |
| O26.813 | Pregnancy related exhaustion and fatigue, third trimester |
| O26.819 | Pregnancy related exhaustion and fatigue, unspecified trimester |
| O26.821 | Pregnancy related peripheral neuritis, first trimester |
| O26.822 | Pregnancy related peripheral neuritis, second trimester |
| O26.823 | Pregnancy related peripheral neuritis, third trimester |
| O26.829 | Pregnancy related peripheral neuritis, unspecified trimester |
| O26.831 | Pregnancy related renal disease, first trimester |
| O26.832 | Pregnancy related renal disease, second trimester |
| O26.833 | Pregnancy related renal disease, third trimester |
| O26.839 | Pregnancy related renal disease, unspecified trimester |
| O26.841 | Uterine size-date discrepancy, first trimester |
| O26.842 | Uterine size-date discrepancy, second trimester |
| O26.843 | Uterine size-date discrepancy, third trimester |
| O26.849 | Uterine size-date discrepancy, unspecified trimester |
| O26.851 | Spotting complicating pregnancy, first trimester |
| O26.852 | Spotting complicating pregnancy, second trimester |
| O26.853 | Spotting complicating pregnancy, third trimester |
| O26.859 | Spotting complicating pregnancy, unspecified trimester |
| O26.872 | Cervical shortening, second trimester |
| O26.873 | Cervical shortening, third trimester |
| O26.879 | Cervical shortening, unspecified trimester |
| O26.891 | Other specified pregnancy related conditions, first trimester |
| O26.892 | Other specified pregnancy related conditions, second trimester |
| O26.893 | Other specified pregnancy related conditions, third trimester |
| O26.899 | Other specified pregnancy related conditions, unspecified trimester |
| O26.90 | Pregnancy related conditions, unspecified, unspecified trimester |
| O30.001 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| O30.002 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| O30.003 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| O30.009 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester |
| O30.021 | Conjoined twin pregnancy, first trimester |
| O30.022 | Conjoined twin pregnancy, second trimester |
| O30.023 | Conjoined twin pregnancy, third trimester |
| O30.029 | Conjoined twin pregnancy, unspecified trimester |
| O30.101 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| O30.102 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| O30.103 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| O30.109 | Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester |
| O30.201 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| O30.202 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| O30.203 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| O30.209 | Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester |
| O30.801 | Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| O30.802 | Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| O30.803 | Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| O30.809 | Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester |
| O30.90 | Multiple gestation, unspecified, unspecified trimester |
| O30.91 | Multiple gestation, unspecified, first trimester |
| O30.92 | Multiple gestation, unspecified, second trimester |
| O30.93 | Multiple gestation, unspecified, third trimester |
| O33.0 | Maternal care for disproportion due to deformity of maternal pelvic bones |
| O33.1 | Maternal care for disproportion due to generally contracted pelvis |
| O33.2 | Maternal care for disproportion due to inlet contraction of pelvis |
| O33.7XX0 | Maternal care for disproportion due to other fetal deformities, not applicable or unspecified |
| O33.7XX1 | Maternal care for disproportion due to other fetal deformities, fetus 1 |
| O33.7XX2 | Maternal care for disproportion due to other fetal deformities, fetus 2 |
| O33.7XX3 | Maternal care for disproportion due to other fetal deformities, fetus 3 |
| O33.7XX4 | Maternal care for disproportion due to other fetal deformities, fetus 4 |
| O33.7XX5 | Maternal care for disproportion due to other fetal deformities, fetus 5 |
| O33.7XX9 | Maternal care for disproportion due to other fetal deformities, other fetus |
| O33.8 | Maternal care for disproportion of other origin |
| O33.9 | Maternal care for disproportion, unspecified |
| O34.00 | Maternal care for unspecified congenital malformation of uterus, unspecified trimester |
| O34.01 | Maternal care for unspecified congenital malformation of uterus, first trimester |
| O34.02 | Maternal care for unspecified congenital malformation of uterus, second trimester |
| O34.03 | Maternal care for unspecified congenital malformation of uterus, third trimester |
| O34.10 | Maternal care for benign tumor of corpus uteri, unspecified trimester |
| O34.11 | Maternal care for benign tumor of corpus uteri, first trimester |
| O34.12 | Maternal care for benign tumor of corpus uteri, second trimester |
| O34.13 | Maternal care for benign tumor of corpus uteri, third trimester |
| O34.211 | Maternal care for low transverse scar from previous cesarean delivery |
| O34.212 | Maternal care for vertical scar from previous cesarean delivery |
| O34.219 | Maternal care for unspecified type scar from previous cesarean delivery |
| O34.29 | Maternal care due to uterine scar from other previous surgery |
| O34.30 | Maternal care for cervical incompetence, unspecified trimester |
| O34.31 | Maternal care for cervical incompetence, first trimester |
| O34.32 | Maternal care for cervical incompetence, second trimester |
| O34.33 | Maternal care for cervical incompetence, third trimester |
| O34.40 | Maternal care for other abnormalities of cervix, unspecified trimester |
| O34.41 | Maternal care for other abnormalities of cervix, first trimester |
| O34.42 | Maternal care for other abnormalities of cervix, second trimester |
| O34.43 | Maternal care for other abnormalities of cervix, third trimester |
| O34.511 | Maternal care for incarceration of gravid uterus, first trimester |
| O34.512 | Maternal care for incarceration of gravid uterus, second trimester |
| O34.513 | Maternal care for incarceration of gravid uterus, third trimester |
| O34.519 | Maternal care for incarceration of gravid uterus, unspecified trimester |
| O34.521 | Maternal care for prolapse of gravid uterus, first trimester |
| O34.522 | Maternal care for prolapse of gravid uterus, second trimester |
| O34.523 | Maternal care for prolapse of gravid uterus, third trimester |
| O34.529 | Maternal care for prolapse of gravid uterus, unspecified trimester |
| O34.531 | Maternal care for retroversion of gravid uterus, first trimester |
| O34.532 | Maternal care for retroversion of gravid uterus, second trimester |
| O34.533 | Maternal care for retroversion of gravid uterus, third trimester |
| O34.539 | Maternal care for retroversion of gravid uterus, unspecified trimester |
| O34.591 | Maternal care for other abnormalities of gravid uterus, first trimester |
| O34.592 | Maternal care for other abnormalities of gravid uterus, second trimester |
| O34.593 | Maternal care for other abnormalities of gravid uterus, third trimester |
| O34.599 | Maternal care for other abnormalities of gravid uterus, unspecified trimester |
| O34.60 | Maternal care for abnormality of vagina, unspecified trimester |
| O34.61 | Maternal care for abnormality of vagina, first trimester |
| O34.62 | Maternal care for abnormality of vagina, second trimester |
| O34.63 | Maternal care for abnormality of vagina, third trimester |
| O34.70 | Maternal care for abnormality of vulva and perineum, unspecified trimester |
| O34.71 | Maternal care for abnormality of vulva and perineum, first trimester |
| O34.72 | Maternal care for abnormality of vulva and perineum, second trimester |
| O34.73 | Maternal care for abnormality of vulva and perineum, third trimester |
| O34.80 | Maternal care for other abnormalities of pelvic organs, unspecified trimester |
| O34.81 | Maternal care for other abnormalities of pelvic organs, first trimester |
| O34.82 | Maternal care for other abnormalities of pelvic organs, second trimester |
| O34.83 | Maternal care for other abnormalities of pelvic organs, third trimester |
| O34.90 | Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester |
| O34.91 | Maternal care for abnormality of pelvic organ, unspecified, first trimester |
| O34.92 | Maternal care for abnormality of pelvic organ, unspecified, second trimester |
| O34.93 | Maternal care for abnormality of pelvic organ, unspecified, third trimester |
| O35.7XX0 | Maternal care for (suspected) damage to fetus by other medical procedures, not applicable or unspecified |
| O35.7XX1 | Maternal care for (suspected) damage to fetus by other medical procedures, fetus 1 |
| O35.7XX2 | Maternal care for (suspected) damage to fetus by other medical procedures, fetus 2 |
| O35.7XX3 | Maternal care for (suspected) damage to fetus by other medical procedures, fetus 3 |
| O35.7XX4 | Maternal care for (suspected) damage to fetus by other medical procedures, fetus 4 |
| O35.7XX5 | Maternal care for (suspected) damage to fetus by other medical procedures, fetus 5 |
| O35.7XX9 | Maternal care for (suspected) damage to fetus by other medical procedures, other fetus |
| O35.8XX0 | Maternal care for other (suspected) fetal abnormality and damage, not applicable or unspecified |
| O35.8XX1 | Maternal care for other (suspected) fetal abnormality and damage, fetus 1 |
| O35.8XX2 | Maternal care for other (suspected) fetal abnormality and damage, fetus 2 |
| O35.8XX3 | Maternal care for other (suspected) fetal abnormality and damage, fetus 3 |
| O35.8XX4 | Maternal care for other (suspected) fetal abnormality and damage, fetus 4 |
| O35.8XX5 | Maternal care for other (suspected) fetal abnormality and damage, fetus 5 |
| O35.8XX9 | Maternal care for other (suspected) fetal abnormality and damage, other fetus |
| O36.0110 | Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified |
| O36.0120 | Maternal care for anti-D [Rh] antibodies, second trimester, not applicable or unspecified |
| O36.0130 | Maternal care for anti-D [Rh] antibodies, third trimester, not applicable or unspecified |
| O36.0190 | Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified |
| O36.0910 | Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified |
| O36.0920 | Maternal care for other rhesus isoimmunization, second trimester, not applicable or unspecified |
| O36.0930 | Maternal care for other rhesus isoimmunization, third trimester, not applicable or unspecified |
| O36.0990 | Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified |
| O36.1110 | Maternal care for Anti-A sensitization, first trimester, not applicable or unspecified |
| O36.1120 | Maternal care for Anti-A sensitization, second trimester, not applicable or unspecified |
| O36.1130 | Maternal care for Anti-A sensitization, third trimester, not applicable or unspecified |
| O36.1190 | Maternal care for Anti-A sensitization, unspecified trimester, not applicable or unspecified |
| O36.1910 | Maternal care for other isoimmunization, first trimester, not applicable or unspecified |
| O36.1920 | Maternal care for other isoimmunization, second trimester, not applicable or unspecified |
| O36.1930 | Maternal care for other isoimmunization, third trimester, not applicable or unspecified |
| O36.1990 | Maternal care for other isoimmunization, unspecified trimester, not applicable or unspecified |
| O36.5110 | Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified |
| O36.5120 | Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified |
| O36.5130 | Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecified |
| O36.5190 | Maternal care for known or suspected placental insufficiency, unspecified trimester, not applicable or unspecified |
| O36.5910 | Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified |
| O36.5920 | Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified |
| O36.5930 | Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified |
| O36.5990 | Maternal care for other known or suspected poor fetal growth, unspecified trimester, not applicable or unspecified |
| O36.8120 | Decreased fetal movements, second trimester, not applicable or unspecified |
| O36.8130 | Decreased fetal movements, third trimester, not applicable or unspecified |
| O36.8190 | Decreased fetal movements, unspecified trimester, not applicable or unspecified |
| O36.8210 | Fetal anemia and thrombocytopenia, first trimester, not applicable or unspecified |
| O36.8220 | Fetal anemia and thrombocytopenia, second trimester, not applicable or unspecified |
| O36.8230 | Fetal anemia and thrombocytopenia, third trimester, not applicable or unspecified |
| O36.8290 | Fetal anemia and thrombocytopenia, unspecified trimester, not applicable or unspecified |
| O36.8910 | Maternal care for other specified fetal problems, first trimester, not applicable or unspecified |
| O36.8920 | Maternal care for other specified fetal problems, second trimester, not applicable or unspecified |
| O36.8930 | Maternal care for other specified fetal problems, third trimester, not applicable or unspecified |
| O36.8990 | Maternal care for other specified fetal problems, unspecified trimester, not applicable or unspecified |
| O41.1010 | Infection of amniotic sac and membranes, unspecified, first trimester, not applicable or unspecified |
| O41.1020 | Infection of amniotic sac and membranes, unspecified, second trimester, not applicable or unspecified |
| O41.1030 | Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or unspecified |
| O41.1090 | Infection of amniotic sac and membranes, unspecified, unspecified trimester, not applicable or unspecified |
| O41.1210 | Chorioamnionitis, first trimester, not applicable or unspecified |
| O41.1220 | Chorioamnionitis, second trimester, not applicable or unspecified |
| O41.1230 | Chorioamnionitis, third trimester, not applicable or unspecified |
| O41.1290 | Chorioamnionitis, unspecified trimester, not applicable or unspecified |
| O41.1410 | Placentitis, first trimester, not applicable or unspecified |
| O41.1420 | Placentitis, second trimester, not applicable or unspecified |
| O41.1430 | Placentitis, third trimester, not applicable or unspecified |
| O41.1490 | Placentitis, unspecified trimester, not applicable or unspecified |
| O42.00 | Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation |
| O42.011 | Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester |
| O42.012 | Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester |
| O42.013 | Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester |
| O42.02 | Full-term premature rupture of membranes, onset of labor within 24 hours of rupture |
| O42.10 | Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation |
| O42.111 | Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester |
| O42.112 | Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester |
| O42.113 | Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester |
| O42.12 | Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture |
| O43.011 | Fetomaternal placental transfusion syndrome, first trimester |
| O43.019 | Fetomaternal placental transfusion syndrome, unspecified trimester |
| O43.101 | Malformation of placenta, unspecified, first trimester |
| O43.102 | Malformation of placenta, unspecified, second trimester |
| O43.103 | Malformation of placenta, unspecified, third trimester |
| O43.199 | Other malformation of placenta, unspecified trimester |
| O43.211 | Placenta accreta, first trimester |
| O43.212 | Placenta accreta, second trimester |
| O43.213 | Placenta accreta, third trimester |
| O43.221 | Placenta increta, first trimester |
| O43.222 | Placenta increta, second trimester |
| O43.223 | Placenta increta, third trimester |
| O43.231 | Placenta percreta, first trimester |
| O43.232 | Placenta percreta, second trimester |
| O43.233 | Placenta percreta, third trimester |
| O43.239 | Placenta percreta, unspecified trimester |
| O43.811 | Placental infarction, first trimester |
| O43.812 | Placental infarction, second trimester |
| O43.813 | Placental infarction, third trimester |
| O43.819 | Placental infarction, unspecified trimester |
| O43.91 | Unspecified placental disorder, first trimester |
| O43.92 | Unspecified placental disorder, second trimester |
| O43.93 | Unspecified placental disorder, third trimester |
| O44.00 | Complete placenta previa NOS or without hemorrhage, unspecified trimester |
| O44.01 | Complete placenta previa NOS or without hemorrhage, first trimester |
| O44.02 | Complete placenta previa NOS or without hemorrhage, second trimester |
| O44.03 | Complete placenta previa NOS or without hemorrhage, third trimester |
| O44.10 | Complete placenta previa with hemorrhage, unspecified trimester |
| O44.11 | Complete placenta previa with hemorrhage, first trimester |
| O44.12 | Complete placenta previa with hemorrhage, second trimester |
| O44.13 | Complete placenta previa with hemorrhage, third trimester |
| O44.20 | Partial placenta previa NOS or without hemorrhage, unspecified trimester |
| O44.21 | Partial placenta previa NOS or without hemorrhage, first trimester |
| O44.22 | Partial placenta previa NOS or without hemorrhage, second trimester |
| O44.23 | Partial placenta previa NOS or without hemorrhage, third trimester |
| O44.30 | Partial placenta previa with hemorrhage, unspecified trimester |
| O44.31 | Partial placenta previa with hemorrhage, first trimester |
| O44.32 | Partial placenta previa with hemorrhage, second trimester |
| O44.33 | Partial placenta previa with hemorrhage, third trimester |
| O44.40 | Low lying placenta NOS or without hemorrhage, unspecified trimester |
| O44.41 | Low lying placenta NOS or without hemorrhage, first trimester |
| O44.42 | Low lying placenta NOS or without hemorrhage, second trimester |
| O44.43 | Low lying placenta NOS or without hemorrhage, third trimester |
| O44.50 | Low lying placenta with hemorrhage, unspecified trimester |
| O44.51 | Low lying placenta with hemorrhage, first trimester |
| O44.52 | Low lying placenta with hemorrhage, second trimester |
| O44.53 | Low lying placenta with hemorrhage, third trimester |
| O45.001 | Premature separation of placenta with coagulation defect, unspecified, first trimester |
| O45.002 | Premature separation of placenta with coagulation defect, unspecified, second trimester |
| O45.003 | Premature separation of placenta with coagulation defect, unspecified, third trimester |
| O45.011 | Premature separation of placenta with afibrinogenemia, first trimester |
| O45.012 | Premature separation of placenta with afibrinogenemia, second trimester |
| O45.013 | Premature separation of placenta with afibrinogenemia, third trimester |
| O45.021 | Premature separation of placenta with disseminated intravascular coagulation, first trimester |
| O45.022 | Premature separation of placenta with disseminated intravascular coagulation, second trimester |
| O45.023 | Premature separation of placenta with disseminated intravascular coagulation, third trimester |
| O45.091 | Premature separation of placenta with other coagulation defect, first trimester |
| O45.092 | Premature separation of placenta with other coagulation defect, second trimester |
| O45.093 | Premature separation of placenta with other coagulation defect, third trimester |
| O45.91 | Premature separation of placenta, unspecified, first trimester |
| O45.92 | Premature separation of placenta, unspecified, second trimester |
| O45.93 | Premature separation of placenta, unspecified, third trimester |
| O46.001 | Antepartum hemorrhage with coagulation defect, unspecified, first trimester |
| O46.002 | Antepartum hemorrhage with coagulation defect, unspecified, second trimester |
| O46.003 | Antepartum hemorrhage with coagulation defect, unspecified, third trimester |
| O46.009 | Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester |
| O46.011 | Antepartum hemorrhage with afibrinogenemia, first trimester |
| O46.012 | Antepartum hemorrhage with afibrinogenemia, second trimester |
| O46.013 | Antepartum hemorrhage with afibrinogenemia, third trimester |
| O46.019 | Antepartum hemorrhage with afibrinogenemia, unspecified trimester |
| O46.021 | Antepartum hemorrhage with disseminated intravascular coagulation, first trimester |
| O46.022 | Antepartum hemorrhage with disseminated intravascular coagulation, second trimester |
| O46.023 | Antepartum hemorrhage with disseminated intravascular coagulation, third trimester |
| O46.029 | Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester |
| O46.091 | Antepartum hemorrhage with other coagulation defect, first trimester |
| O46.092 | Antepartum hemorrhage with other coagulation defect, second trimester |
| O46.093 | Antepartum hemorrhage with other coagulation defect, third trimester |
| O46.099 | Antepartum hemorrhage with other coagulation defect, unspecified trimester |
| O46.90 | Antepartum hemorrhage, unspecified, unspecified trimester |
| O46.91 | Antepartum hemorrhage, unspecified, first trimester |
| O46.92 | Antepartum hemorrhage, unspecified, second trimester |
| O46.93 | Antepartum hemorrhage, unspecified, third trimester |
| O47.00 | False labor before 37 completed weeks of gestation, unspecified trimester |
| O47.02 | False labor before 37 completed weeks of gestation, second trimester |
| O47.03 | False labor before 37 completed weeks of gestation, third trimester |
| O47.1 | False labor at or after 37 completed weeks of gestation |
| O47.9 | False labor, unspecified |
| O48.0 | Post-term pregnancy |
| O48.1 | Prolonged pregnancy |
| O60.00 | Preterm labor without delivery, unspecified trimester |
| O60.02 | Preterm labor without delivery, second trimester |
| O60.03 | Preterm labor without delivery, third trimester |
| O61.0 | Failed medical induction of labor |
| O61.1 | Failed instrumental induction of labor |
| O61.9 | Failed induction of labor, unspecified |
| O62.0 | Primary inadequate contractions |
| O62.1 | Secondary uterine inertia |
| O62.2 | Other uterine inertia |
| O62.3 | Precipitate labor |
| O62.4 | Hypertonic, incoordinate, and prolonged uterine contractions |
| O62.9 | Abnormality of forces of labor, unspecified |
| O63.0 | Prolonged first stage (of labor) |
| O63.1 | Prolonged second stage (of labor) |
| O63.2 | Delayed delivery of second twin, triplet, etc. |
| O63.9 | Long labor, unspecified |
| O65.4 | Obstructed labor due to fetopelvic disproportion, unspecified |
| O65.5 | Obstructed labor due to abnormality of maternal pelvic organs |
| O65.9 | Obstructed labor due to maternal pelvic abnormality, unspecified |
| O66.0 | Obstructed labor due to shoulder dystocia |
| O66.1 | Obstructed labor due to locked twins |
| O66.40 | Failed trial of labor, unspecified |
| O66.5 | Attempted application of vacuum extractor and forceps |
| O66.8 | Other specified obstructed labor |
| O66.9 | Obstructed labor, unspecified |
| O67.0 | Intrapartum hemorrhage with coagulation defect |
| O67.8 | Other intrapartum hemorrhage |
| O67.9 | Intrapartum hemorrhage, unspecified |
| O68 | Labor and delivery complicated by abnormality of fetal acid-base balance |
| O70.0 | First degree perineal laceration during delivery |
| O70.1 | Second degree perineal laceration during delivery |
| O70.20 | Third degree perineal laceration during delivery, unspecified |
| O70.21 | Third degree perineal laceration during delivery, IIIa |
| O70.22 | Third degree perineal laceration during delivery, IIIb |
| O70.23 | Third degree perineal laceration during delivery, IIIc |
| O70.3 | Fourth degree perineal laceration during delivery |
| O70.4 | Anal sphincter tear complicating delivery, not associated with third degree laceration |
| O70.9 | Perineal laceration during delivery, unspecified |
| O71.00 | Rupture of uterus before onset of labor, unspecified trimester |
| O71.02 | Rupture of uterus before onset of labor, second trimester |
| O71.03 | Rupture of uterus before onset of labor, third trimester |
| O71.1 | Rupture of uterus during labor |
| O71.2 | Postpartum inversion of uterus |
| O71.3 | Obstetric laceration of cervix |
| O71.4 | Obstetric high vaginal laceration alone |
| O71.5 | Other obstetric injury to pelvic organs |
| O71.6 | Obstetric damage to pelvic joints and ligaments |
| O71.7 | Obstetric hematoma of pelvis |
| O71.82 | Other specified trauma to perineum and vulva |
| O71.89 | Other specified obstetric trauma |
| O71.9 | Obstetric trauma, unspecified |
| O72.0 | Third-stage hemorrhage |
| O72.1 | Other immediate postpartum hemorrhage |
| O72.2 | Delayed and secondary postpartum hemorrhage |
| O72.3 | Postpartum coagulation defects |
| O73.0 | Retained placenta without hemorrhage |
| O73.1 | Retained portions of placenta and membranes, without hemorrhage |
| O74.1 | Other pulmonary complications of anesthesia during labor and delivery |
| O74.2 | Cardiac complications of anesthesia during labor and delivery |
| O74.3 | Central nervous system complications of anesthesia during labor and delivery |
| O74.8 | Other complications of anesthesia during labor and delivery |
| O74.9 | Complication of anesthesia during labor and delivery, unspecified |
| O75.0 | Maternal distress during labor and delivery |
| O75.1 | Shock during or following labor and delivery |
| O75.2 | Pyrexia during labor, not elsewhere classified |
| O75.3 | Other infection during labor |
| O75.4 | Other complications of obstetric surgery and procedures |
| O75.5 | Delayed delivery after artificial rupture of membranes |
| O75.81 | Maternal exhaustion complicating labor and delivery |
| O75.89 | Other specified complications of labor and delivery |
| O75.9 | Complication of labor and delivery, unspecified |
| O76 | Abnormality in fetal heart rate and rhythm complicating labor and delivery |
| O77.0 | Labor and delivery complicated by meconium in amniotic fluid |
| O80 | Encounter for full-term uncomplicated delivery |
| O82 | Encounter for cesarean delivery without indication |
| O85 | Puerperal sepsis |
| O86.00 | Infection of obstetric surgical wound, unspecified |
| O86.01 | Infection of obstetric surgical wound, superficial incisional site |
| O86.02 | Infection of obstetric surgical wound, deep incisional site |
| O86.03 | Infection of obstetric surgical wound, organ and space site |
| O86.04 | Sepsis following an obstetrical procedure |
| O86.09 | Infection of obstetric surgical wound, other surgical site |
| O86.11 | Cervicitis following delivery |
| O86.12 | Endometritis following delivery |
| O86.13 | Vaginitis following delivery |
| O86.19 | Other infection of genital tract following delivery |
| O86.20 | Urinary tract infection following delivery, unspecified |
| O86.21 | Infection of kidney following delivery |
| O86.22 | Infection of bladder following delivery |
| O86.29 | Other urinary tract infection following delivery |
| O86.4 | Pyrexia of unknown origin following delivery |
| O86.81 | Puerperal septic thrombophlebitis |
| O86.89 | Other specified puerperal infections |
| O87.0 | Superficial thrombophlebitis in the puerperium |
| O87.1 | Deep phlebothrombosis in the puerperium |
| O87.2 | Hemorrhoids in the puerperium |
| O87.3 | Cerebral venous thrombosis in the puerperium |
| O87.4 | Varicose veins of lower extremity in the puerperium |
| O87.8 | Other venous complications in the puerperium |
| O87.9 | Venous complication in the puerperium, unspecified |
| O88.011 | Air embolism in pregnancy, first trimester |
| O88.012 | Air embolism in pregnancy, second trimester |
| O88.013 | Air embolism in pregnancy, third trimester |
| O88.019 | Air embolism in pregnancy, unspecified trimester |
| O88.02 | Air embolism in childbirth |
| O88.03 | Air embolism in the puerperium |
| O88.111 | Amniotic fluid embolism in pregnancy, first trimester |
| O88.112 | Amniotic fluid embolism in pregnancy, second trimester |
| O88.113 | Amniotic fluid embolism in pregnancy, third trimester |
| O88.119 | Amniotic fluid embolism in pregnancy, unspecified trimester |
| O88.12 | Amniotic fluid embolism in childbirth |
| O88.13 | Amniotic fluid embolism in the puerperium |
| O88.211 | Thromboembolism in pregnancy, first trimester |
| O88.212 | Thromboembolism in pregnancy, second trimester |
| O88.213 | Thromboembolism in pregnancy, third trimester |
| O88.219 | Thromboembolism in pregnancy, unspecified trimester |
| O88.22 | Thromboembolism in childbirth |
| O88.23 | Thromboembolism in the puerperium |
| O88.311 | Pyemic and septic embolism in pregnancy, first trimester |
| O88.312 | Pyemic and septic embolism in pregnancy, second trimester |
| O88.313 | Pyemic and septic embolism in pregnancy, third trimester |
| O88.319 | Pyemic and septic embolism in pregnancy, unspecified trimester |
| O88.32 | Pyemic and septic embolism in childbirth |
| O88.33 | Pyemic and septic embolism in the puerperium |
| O88.811 | Other embolism in pregnancy, first trimester |
| O88.812 | Other embolism in pregnancy, second trimester |
| O88.813 | Other embolism in pregnancy, third trimester |
| O88.819 | Other embolism in pregnancy, unspecified trimester |
| O88.82 | Other embolism in childbirth |
| O88.83 | Other embolism in the puerperium |
| O89.09 | Other pulmonary complications of anesthesia during the puerperium |
| O89.1 | Cardiac complications of anesthesia during the puerperium |
| O89.2 | Central nervous system complications of anesthesia during the puerperium |
| O89.8 | Other complications of anesthesia during the puerperium |
| O89.9 | Complication of anesthesia during the puerperium, unspecified |
| O90.0 | Disruption of cesarean delivery wound |
| O90.1 | Disruption of perineal obstetric wound |
| O90.2 | Hematoma of obstetric wound |
| O90.3 | Peripartum cardiomyopathy |
| O90.4 | Postpartum acute kidney failure |
| O90.5 | Postpartum thyroiditis |
| O90.6 | Postpartum mood disturbance |
| O90.81 | Anemia of the puerperium |
| O90.89 | Other complications of the puerperium, not elsewhere classified |
| O90.9 | Complication of the puerperium, unspecified |
| O91.011 | Infection of nipple associated with pregnancy, first trimester |
| O91.012 | Infection of nipple associated with pregnancy, second trimester |
| O91.013 | Infection of nipple associated with pregnancy, third trimester |
| O91.019 | Infection of nipple associated with pregnancy, unspecified trimester |
| O91.02 | Infection of nipple associated with the puerperium |
| O91.111 | Abscess of breast associated with pregnancy, first trimester |
| O91.112 | Abscess of breast associated with pregnancy, second trimester |
| O91.113 | Abscess of breast associated with pregnancy, third trimester |
| O91.119 | Abscess of breast associated with pregnancy, unspecified trimester |
| O91.12 | Abscess of breast associated with the puerperium |
| O91.211 | Nonpurulent mastitis associated with pregnancy, first trimester |
| O91.212 | Nonpurulent mastitis associated with pregnancy, second trimester |
| O91.213 | Nonpurulent mastitis associated with pregnancy, third trimester |
| O91.219 | Nonpurulent mastitis associated with pregnancy, unspecified trimester |
| O91.22 | Nonpurulent mastitis associated with the puerperium |
| O91.23 | Nonpurulent mastitis associated with lactation |
| O92.011 | Retracted nipple associated with pregnancy, first trimester |
| O92.012 | Retracted nipple associated with pregnancy, second trimester |
| O92.013 | Retracted nipple associated with pregnancy, third trimester |
| O92.019 | Retracted nipple associated with pregnancy, unspecified trimester |
| O92.03 | Retracted nipple associated with lactation |
| O92.111 | Cracked nipple associated with pregnancy, first trimester |
| O92.112 | Cracked nipple associated with pregnancy, second trimester |
| O92.113 | Cracked nipple associated with pregnancy, third trimester |
| O92.119 | Cracked nipple associated with pregnancy, unspecified trimester |
| O92.13 | Cracked nipple associated with lactation |
| O92.20 | Unspecified disorder of breast associated with pregnancy and the puerperium |
| O92.29 | Other disorders of breast associated with pregnancy and the puerperium |
| O92.3 | Agalactia |
| O92.5 | Suppressed lactation |
| O92.6 | Galactorrhea |
| O92.70 | Unspecified disorders of lactation |
| O92.79 | Other disorders of lactation |
| O94 | Sequelae of complication of pregnancy, childbirth, and the puerperium |
| O98.011 | Tuberculosis complicating pregnancy, first trimester |
| O98.012 | Tuberculosis complicating pregnancy, second trimester |
| O98.013 | Tuberculosis complicating pregnancy, third trimester |
| O98.019 | Tuberculosis complicating pregnancy, unspecified trimester |
| O98.02 | Tuberculosis complicating childbirth |
| O98.03 | Tuberculosis complicating the puerperium |
| O98.111 | Syphilis complicating pregnancy, first trimester |
| O98.112 | Syphilis complicating pregnancy, second trimester |
| O98.113 | Syphilis complicating pregnancy, third trimester |
| O98.119 | Syphilis complicating pregnancy, unspecified trimester |
| O98.12 | Syphilis complicating childbirth |
| O98.13 | Syphilis complicating the puerperium |
| O98.211 | Gonorrhea complicating pregnancy, first trimester |
| O98.212 | Gonorrhea complicating pregnancy, second trimester |
| O98.213 | Gonorrhea complicating pregnancy, third trimester |
| O98.219 | Gonorrhea complicating pregnancy, unspecified trimester |
| O98.22 | Gonorrhea complicating childbirth |
| O98.23 | Gonorrhea complicating the puerperium |
| O98.311 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, first trimester |
| O98.312 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, second trimester |
| O98.313 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, third trimester |
| O98.319 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, unspecified trimester |
| O98.32 | Other infections with a predominantly sexual mode of transmission complicating childbirth |
| O98.33 | Other infections with a predominantly sexual mode of transmission complicating the puerperium |
| O98.42 | Viral hepatitis complicating childbirth |
| O98.43 | Viral hepatitis complicating the puerperium |
| O98.511 | Other viral diseases complicating pregnancy, first trimester |
| O98.512 | Other viral diseases complicating pregnancy, second trimester |
| O98.513 | Other viral diseases complicating pregnancy, third trimester |
| O98.519 | Other viral diseases complicating pregnancy, unspecified trimester |
| O98.52 | Other viral diseases complicating childbirth |
| O98.53 | Other viral diseases complicating the puerperium |
| O98.611 | Protozoal diseases complicating pregnancy, first trimester |
| O98.612 | Protozoal diseases complicating pregnancy, second trimester |
| O98.613 | Protozoal diseases complicating pregnancy, third trimester |
| O98.619 | Protozoal diseases complicating pregnancy, unspecified trimester |
| O98.62 | Protozoal diseases complicating childbirth |
| O98.63 | Protozoal diseases complicating the puerperium |
| O98.811 | Other maternal infectious and parasitic diseases complicating pregnancy, first trimester |
| O98.812 | Other maternal infectious and parasitic diseases complicating pregnancy, second trimester |
| O98.813 | Other maternal infectious and parasitic diseases complicating pregnancy, third trimester |
| O98.819 | Other maternal infectious and parasitic diseases complicating pregnancy, unspecified trimester |
| O98.82 | Other maternal infectious and parasitic diseases complicating childbirth |
| O98.83 | Other maternal infectious and parasitic diseases complicating the puerperium |
| O98.911 | Unspecified maternal infectious and parasitic disease complicating pregnancy, first trimester |
| O98.912 | Unspecified maternal infectious and parasitic disease complicating pregnancy, second trimester |
| O98.913 | Unspecified maternal infectious and parasitic disease complicating pregnancy, third trimester |
| O98.919 | Unspecified maternal infectious and parasitic disease complicating pregnancy, unspecified trimester |
| O98.92 | Unspecified maternal infectious and parasitic disease complicating childbirth |
| O98.93 | Unspecified maternal infectious and parasitic disease complicating the puerperium |
| O99.011 | Anemia complicating pregnancy, first trimester |
| O99.012 | Anemia complicating pregnancy, second trimester |
| O99.013 | Anemia complicating pregnancy, third trimester |
| O99.019 | Anemia complicating pregnancy, unspecified trimester |
| O99.02 | Anemia complicating childbirth |
| O99.03 | Anemia complicating the puerperium |
| O99.111 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester |
| O99.112 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester |
| O99.113 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester |
| O99.119 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester |
| O99.12 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth |
| O99.13 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium |
| O99.210 | Obesity complicating pregnancy, unspecified trimester |
| O99.211 | Obesity complicating pregnancy, first trimester |
| O99.212 | Obesity complicating pregnancy, second trimester |
| O99.213 | Obesity complicating pregnancy, third trimester |
| O99.214 | Obesity complicating childbirth |
| O99.215 | Obesity complicating the puerperium |
| O99.280 | Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester |
| O99.281 | Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester |
| O99.282 | Endocrine, nutritional and metabolic diseases complicating pregnancy, second trimester |
| O99.283 | Endocrine, nutritional and metabolic diseases complicating pregnancy, third trimester |
| O99.284 | Endocrine, nutritional and metabolic diseases complicating childbirth |
| O99.285 | Endocrine, nutritional and metabolic diseases complicating the puerperium |
| O99.320 | Drug use complicating pregnancy, unspecified trimester |
| O99.321 | Drug use complicating pregnancy, first trimester |
| O99.322 | Drug use complicating pregnancy, second trimester |
| O99.323 | Drug use complicating pregnancy, third trimester |
| O99.324 | Drug use complicating childbirth |
| O99.325 | Drug use complicating the puerperium |
| O99.330 | Smoking (tobacco) complicating pregnancy, unspecified trimester |
| O99.331 | Smoking (tobacco) complicating pregnancy, first trimester |
| O99.332 | Smoking (tobacco) complicating pregnancy, second trimester |
| O99.333 | Smoking (tobacco) complicating pregnancy, third trimester |
| O99.334 | Smoking (tobacco) complicating childbirth |
| O99.335 | Smoking (tobacco) complicating the puerperium |
| O99.340 | Other mental disorders complicating pregnancy, unspecified trimester |
| O99.341 | Other mental disorders complicating pregnancy, first trimester |
| O99.342 | Other mental disorders complicating pregnancy, second trimester |
| O99.343 | Other mental disorders complicating pregnancy, third trimester |
| O99.344 | Other mental disorders complicating childbirth |
| O99.345 | Other mental disorders complicating the puerperium |
| O99.350 | Diseases of the nervous system complicating pregnancy, unspecified trimester |
| O99.351 | Diseases of the nervous system complicating pregnancy, first trimester |
| O99.352 | Diseases of the nervous system complicating pregnancy, second trimester |
| O99.353 | Diseases of the nervous system complicating pregnancy, third trimester |
| O99.354 | Diseases of the nervous system complicating childbirth |
| O99.355 | Diseases of the nervous system complicating the puerperium |
| O99.411 | Diseases of the circulatory system complicating pregnancy, first trimester |
| O99.412 | Diseases of the circulatory system complicating pregnancy, second trimester |
| O99.413 | Diseases of the circulatory system complicating pregnancy, third trimester |
| O99.419 | Diseases of the circulatory system complicating pregnancy, unspecified trimester |
| O99.42 | Diseases of the circulatory system complicating childbirth |
| O99.43 | Diseases of the circulatory system complicating the puerperium |
| O99.810 | Abnormal glucose complicating pregnancy |
| O99.814 | Abnormal glucose complicating childbirth |
| O99.815 | Abnormal glucose complicating the puerperium |
| O99.834 | Other infection carrier state complicating childbirth |
| O99.835 | Other infection carrier state complicating the puerperium |
| O99.840 | Bariatric surgery status complicating pregnancy, unspecified trimester |
| O99.841 | Bariatric surgery status complicating pregnancy, first trimester |
| O99.842 | Bariatric surgery status complicating pregnancy, second trimester |
| O99.843 | Bariatric surgery status complicating pregnancy, third trimester |
| O99.844 | Bariatric surgery status complicating childbirth |
| O99.845 | Bariatric surgery status complicating the puerperium |
| O99.89 | Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium |
| Z33.1 | Pregnant state, incidental |
| Z33.2 | Encounter for elective termination of pregnancy |
| Z33.3 | Pregnant state, gestational carrier |
| Z34.00 | Encounter for supervision of normal first pregnancy, unspecified trimester |
| Z34.01 | Encounter for supervision of normal first pregnancy, first trimester |
| Z34.02 | Encounter for supervision of normal first pregnancy, second trimester |
| Z34.03 | Encounter for supervision of normal first pregnancy, third trimester |
| Z34.80 | Encounter for supervision of other normal pregnancy, unspecified trimester |
| Z34.81 | Encounter for supervision of other normal pregnancy, first trimester |
| Z34.82 | Encounter for supervision of other normal pregnancy, second trimester |
| Z34.83 | Encounter for supervision of other normal pregnancy, third trimester |
| Z34.90 | Encounter for supervision of normal pregnancy, unspecified, unspecified trimester |
| Z34.91 | Encounter for supervision of normal pregnancy, unspecified, first trimester |
| Z34.92 | Encounter for supervision of normal pregnancy, unspecified, second trimester |
| Z34.93 | Encounter for supervision of normal pregnancy, unspecified, third trimester |
| Z36.0 | Encounter for antenatal screening for chromosomal anomalies |
| Z36.1 | Encounter for antenatal screening for raised alphafetoprotein level |
| Z36.2 | Encounter for other antenatal screening follow-up |
| Z36.3 | Encounter for antenatal screening for malformations |
| Z36.4 | Encounter for antenatal screening for fetal growth retardation |
| Z36.5 | Encounter for antenatal screening for isoimmunization |
| Z36.81 | Encounter for antenatal screening for hydrops fetalis |
| Z36.82 | Encounter for antenatal screening for nuchal translucency |
| Z36.84 | Encounter for antenatal screening for fetal lung maturity |
| Z36.85 | Encounter for antenatal screening for Streptococcus B |
| Z36.86 | Encounter for antenatal screening for cervical length |
| Z36.87 | Encounter for antenatal screening for uncertain dates |
| Z36.88 | Encounter for antenatal screening for fetal macrosomia |
| Z36.89 | Encounter for other specified antenatal screening |
| Z36.8A | Encounter for antenatal screening for other genetic defects |
| Z36.9 | Encounter for antenatal screening, unspecified |
| SNOMED: | |
| Code | Description |
| 10231000132102 | In-vitro fertilization pregnancy (finding) |
| 102872000 | Pregnancy on oral contraceptive (finding) |
| 102873005 | Pregnancy on intrauterine device (finding) |
| 102875003 | Surrogate pregnancy (finding) |
| 11082009 | Abnormal pregnancy (finding) |
| 127363001 | Number of pregnancies, currently pregnant (finding) |
| 127364007 | Primigravida (finding) |
| 134781000119106 | High risk pregnancy due to recurrent miscarriage (finding) |
| 14080002 | Illegitimate pregnancy, life event (finding) |
| 14418008 | Precocious pregnancy (finding) |
| 16356006 | Multiple pregnancy (disorder) |
| 16836261000119107 | Ectopic pregnancy of left ovary (disorder) |
| 16836351000119100 | Ectopic pregnancy of right ovary (disorder) |
| 16836391000119105 | Pregnancy of left fallopian tube (disorder) |
| 16836891000119104 | Pregnancy of right fallopian tube (disorder) |
| 169560008 | Pregnant – urine test confirms (finding) |
| 169561007 | Pregnant – blood test confirms (finding) |
| 169562000 | Pregnant – vaginal examination confirms (finding) |
| 169563005 | Pregnant – on history (finding) |
| 169564004 | Pregnant – on abdominal palpation (finding) |
| 169565003 | Pregnant – planned (finding) |
| 169566002 | Pregnant – unplanned – wanted (finding) |
| 169567006 | Pregnant -unplanned-not wanted (finding) |
| 169568001 | Unplanned pregnancy unknown if child is wanted (finding) |
| 17285009 | Intraperitoneal pregnancy (disorder) |
| 198624007 | Membranous pregnancy (disorder) |
| 198626009 | Mesenteric pregnancy (disorder) |
| 198627000 | Angular pregnancy (disorder) |
| 199064003 | Post-term pregnancy – not delivered (disorder) |
| 199306007 | Continuing pregnancy after abortion of one fetus or more (disorder) |
| 199715003 | Grand multiparity with antenatal problem (finding) |
| 22281000119101 | Post-term pregnancy of 40 to 42 weeks (disorder) |
| 237233002 | Concealed pregnancy (finding) |
| 237238006 | Pregnancy with uncertain dates (finding) |
| 237239003 | Low risk pregnancy (finding) |
| 237240001 | Teenage pregnancy (finding) |
| 237241002 | Viable pregnancy (finding) |
| 237242009 | Non-viable pregnancy (finding) |
| 237244005 | Single pregnancy (finding) |
| 237254009 | Unruptured tubal pregnancy (disorder) |
| 239101008 | Pregnancy eruption (disorder) |
| 248985009 | Presentation of pregnancy (finding) |
| 276367008 | Wanted pregnancy (finding) |
| 276881003 | Secondary abdominal pregnancy (disorder) |
| 281307002 | Uncertain viability of pregnancy (finding) |
| 29399001 | Elderly primigravida (finding) |
| 314204000 | Early stage of pregnancy (finding) |
| 31601007 | Combined pregnancy (disorder) |
| 34801009 | Ectopic pregnancy (disorder) |
| 35381000119101 | Quadruplet pregnancy with loss of one or more fetuses (disorder) |
| 35656003 | Intraligamentous pregnancy (disorder) |
| 36801000119105 | Continuing triplet pregnancy after spontaneous abortion of one or more fetuses (disorder) |
| 38720006 | Septuplet pregnancy (disorder) |
| 41587001 | Third trimester pregnancy (finding) |
| 41991004 | Angiectasis pregnancy (disorder) |
| 429187001 | Continuing pregnancy after intrauterine death of twin fetus (disorder) |
| 43990006 | Sextuplet pregnancy (disorder) |
| 442478007 | Multiple pregnancy involving intrauterine pregnancy and tubal pregnancy (disorder) |
| 444661007 | High risk pregnancy due to history of preterm labor (finding) |
| 44782008 | Molar pregnancy (disorder) |
| 45307008 | Extrachorial pregnancy (finding) |
| 457811000124103 | Normal pregnancy in primigravida (finding) |
| 457821000124106 | Normal pregnancy in multigravida (finding) |
| 459167000 | Monochorionic twin pregnancy (disorder) |
| 459169002 | Monochorionic diamniotic twin pregnancy with similar amniotic fluid volumes (disorder) |
| 459170001 | Monochorionic diamniotic twin pregnancy with dissimilar amniotic fluid volumes (disorder) |
| 47200007 | High risk pregnancy (finding) |
| 472321009 | Continuing pregnancy after intrauterine death of one twin with intrauterine retention of dead twin (disorder) |
| 57630001 | First trimester pregnancy (finding) |
| 58532003 | Unwanted pregnancy (finding) |
| 59466002 | Second trimester pregnancy (finding) |
| 60000008 | Mesometric pregnancy (disorder) |
| 60810003 | Quadruplet pregnancy (disorder) |
| 64254006 | Triplet pregnancy (disorder) |
| 65147003 | Twin pregnancy (disorder) |
| 65727000 | Intrauterine pregnancy (finding) |
| 713575004 | Dizygotic twin pregnancy (disorder) |
| 713576003 | Monozygotic twin pregnancy (disorder) |
| 72892002 | Normal pregnancy (finding) |
| 77386006 | Pregnant (finding) |
| 786067000 | Intramural ectopic pregnancy of myometrium (disorder) |
| 79290002 | Cervical pregnancy (disorder) |
| 79586000 | Tubal pregnancy (disorder) |
| 80997009 | Quintuplet pregnancy (disorder) |
| 82661006 | Abdominal pregnancy (disorder) |
| 83074005 | Unplanned pregnancy (finding) |
| 87527008 | Term pregnancy (finding) |
| 87605005 | Cornual pregnancy (disorder) |
| 90968009 | Prolonged pregnancy (disorder) |
| 9279009 | Extra-amniotic pregnancy (finding) |
| 9899009 | Ovarian pregnancy (disorder) |
This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note or by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| Z51.5 | Encounter for palliative care |
| SNOMED: | |
| Code | Description |
| 103735009 | Palliative care (regime/therapy) |
| 133918004 | Comfort measures (regime/therapy) |
| 182964004 | Terminal care (regime/therapy) |
| 305284002 | Admission by palliative care physician (procedure) |
| 305381007 | Admission to palliative care department (procedure) |
| 305981001 | Referral by palliative care physician (procedure) |
| 306237005 | Referral to palliative care service (procedure) |
| 306288008 | Referral to palliative care physician (procedure) |
| 385736008 | Dying care (regime/therapy) |
| 385763009 | Hospice care (regime/therapy) |
| 385765002 | Hospice care management (procedure) |
This is captured by checking the BMI not done for medical or other reason check box, using the Options button, which is located under the BMI section from the Vitals widget in a note.
Or, by attaching an applicable SNOMED code to a procedure.
| SNOMED: | |
| Code | Description |
| 183932001 | Procedure contraindicated (situation) |
| 183964008 | Treatment not indicated (situation) |
| 183966005 | Drug treatment not indicated (situation) |
| 266721009 | Absent response to treatment (situation) |
| 269191009 | Late effect of medical and surgical care complication (disorder) |
| 31438003 | Drug resistance (disorder) |
| 35688006 | Complication of medical care (disorder) |
| 397745006 | Medical contraindication (finding) |
| 407563006 | Treatment not tolerated (situation) |
| 410534003 | Not indicated (qualifier value) |
| 410536001 | Contraindicated (qualifier value) |
| 416098002 | Allergy to drug (finding) |
| 428119001 | Procedure not indicated (situation) |
| 59037007 | Intolerance to drug (finding) |
| 62014003 | Adverse reaction caused by drug (disorder) |
| 79899007 | Drug interaction (finding) |
This is captured by checking the BMI refused by patient check box, using the Options button, which is located under the BMI section from the Vitals widget in a note.
Or, by attaching an applicable SNOMED code to a procedure.
| SNOMED: | |
| Code | Description |
| 105480006 | Refusal of treatment by patient (situation) |
| 183944003 | Procedure refused (situation) |
| 183945002 | Procedure refused for religious reason (situation) |
| 413310006 | Patient non-compliant – refused access to services (situation) |
| 413311005 | Patient non-compliant – refused intervention / support (situation) |
| 413312003 | Patient non-compliant – refused service (situation) |
Required Data Elements for the Numerator:
This is calculated automatically when entering a height and weight using the Vitals widget in a note.
If the BMI is outside of the normal parameters, at least ONE of the following must be documented within the 12 months prior to or during the first BMI Encounter of the measurement period:
This is captured by checking the Follow-up plan documented check box, using the Options button, which is located under the BMI section from the Vitals widget in a note.
The reason of Overweight will be saved automatically if the most recent BMI result >= 25 kg/m2.
The reason of Underweight will be saved automatically if the most recent BMI result < 18.5 kg/m2.
Or, by adding a procedure with a valid CPT code, HCPCS code, or SNOMED code, using the Procedure widget in a note; or, by adding a valid ICD-10 code using the Diagnosis widget in a note.
Valid Codes for Above Normal BMI:
| CPT/HCPCS: | |
| Code | Description |
| 43644 | Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) |
| 43645 | Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption |
| 43659 | Unlisted laparoscopy procedure, stomach |
| 43770 | Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) |
| 43771 | Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only |
| 43772 | Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only |
| 43773 | Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only |
| 43774 | Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components |
| 43842 | Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty |
| 43843 | Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty |
| 43845 | Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch) |
| 43846 | Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy |
| 43847 | Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption |
| 43848 | Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) |
| 43886 | Gastric restrictive procedure, open; revision of subcutaneous port component only |
| 43888 | Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only |
| 97802 | Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
| 97803 | Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
| 97804 | Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes |
| 98960 | Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient |
| 99078 | Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions) |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
| 99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
| G0271 | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes |
| G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
| S9449 | Weight management classes, non-physician provider, per session |
| S9451 | Exercise classes, non-physician provider, per session |
| S9452 | Nutrition classes, non-physician provider, per session |
| S9470 | Nutritional counseling, dietitian visit |
| SNOMED: | |
| Code | Description |
| 304549008 | Giving encouragement to exercise (procedure) |
| 307818003 | Weight monitoring (regime/therapy) |
| 361231003 | Prescribed dietary intake (regime/therapy) |
| 370847001 | Dietary needs education (procedure) |
| 386291006 | Exercise promotion: strength training (procedure) |
| 386292004 | Exercise promotion: stretching (procedure) |
| 386373004 | Nutrition therapy (regime/therapy) |
| 386463000 | Prescribed activity/exercise education (procedure) |
| 386464006 | Prescribed diet education (procedure) |
| 410177006 | Special diet education (procedure) |
| 413315001 | Nutrition / feeding management (regime/therapy) |
| 418995006 | Feeding regime (regime/therapy) |
| 424753004 | Dietary management education, guidance, and counseling (procedure) |
| 443288003 | Lifestyle education regarding diet (procedure) |
| ICD-10: | |
| Code | Description |
| Z71.3 | Dietary counseling and surveillance |
| Z71.82 | Exercise counseling |
Valid Codes for Below Normal BMI:
| CPT/HCPCS: | |
| Code | Description |
| 97802 | Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
| 97803 | Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
| 97804 | Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes |
| 98960 | Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient |
| 99078 | Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions) |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
| 99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
| G0271 | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
| S9449 | Weight management classes, non-physician provider, per session |
| S9452 | Nutrition classes, non-physician provider, per session |
| S9470 | Nutritional counseling, dietitian visit |
| SNOMED: | |
| Code | Description |
| 386464006 | Prescribed diet education (procedure) |
| 410177006 | Special diet education (procedure) |
| 413315001 | Nutrition / feeding management (regime/therapy) |
| 418995006 | Feeding regime (regime/therapy) |
| 424753004 | Dietary management education, guidance, and counseling (procedure) |
| 429095004 | Dietary education for weight gain (procedure) |
| 443288003 | Lifestyle education regarding diet (procedure) |
| ICD-10: | |
| Code | Description |
| Z71.3 | Dietary counseling and surveillance |
This is captured by attaching a weight assessment SNOMED code when adding/editing a referral using the Referral button in a note.
The reason of overweight will be saved automatically if the most recent BMI result >= 25 kg/m2.
The reason of underweight will be saved automatically if the most recent BMI result < 18.5 kg/m2.
| SNOMED: | |
| Code | Description |
| 103698003 | Patient referral to non-physician provider (procedure) |
| 103699006 | Patient referral to dietitian (procedure) |
| 183515008 | Referral to physician (procedure) |
| 183524004 | Referral to psychiatry service (procedure) |
| 183583007 | Refer to mental health worker (procedure) |
| 185359002 | Referred by another general practitioner (finding) |
| 305922005 | Referral by mental health counselor (procedure) |
| 306136006 | Referral to liaison psychiatry service (procedure) |
| 306163007 | Referral to dietetics service (procedure) |
| 306164001 | Referral to community-based dietetics service (procedure) |
| 306165000 | Referral to hospital-based dietetics service (procedure) |
| 306166004 | Referral to occupational therapy service (procedure) |
| 306167008 | Referral to community-based occupational therapy service (procedure) |
| 306168003 | Referral to hospital-based occupational therapy service (procedure) |
| 306226009 | Referral to mental health counseling service (procedure) |
| 306227000 | Referral for mental health counseling (procedure) |
| 306252003 | Referral to mental health counselor (procedure) |
| 306344004 | Referral to professional allied to medicine (procedure) |
| 306353006 | Referral to community-based dietitian (procedure) |
| 306354000 | Referral to hospital-based dietitian (procedure) |
| 308459004 | Referral to psychologist (procedure) |
| 308470006 | Referral to general physician (procedure) |
| 308477009 | Referral to psychiatrist (procedure) |
| 390864007 | Referral for exercise therapy (procedure) |
| 390866009 | Referral to mental health team (procedure) |
| 390893007 | Referral to physical activity program (procedure) |
| 408289007 | Refer to weight management program (procedure) |
| 410160006 | Physical therapy management (procedure) |
| 416790000 | Referral for home physical therapy (procedure) |
| 424203006 | Physical therapy education, guidance and counseling (procedure) |
| 91251008 | Physical therapy procedure (regime/therapy) |
This is captured by prescribing or renewing a medication with a valid RXNORM code using the Medication button in a note or the Facesheet in a chart.
The reason of overweight will be saved automatically if the most recent BMI result >= 25 kg/m2.
The reason of underweight will be saved automatically if the most recent BMI result < 18.5 kg/m2.
Valid Medications for Above Normal BMI:
| RXNORM: | |
| Code | Description |
| 1112982 | Phentermine Hydrochloride 15 MG Disintegrating Oral Tablet |
| 1112987 | Phentermine Hydrochloride 30 MG Disintegrating Oral Tablet |
| 1249083 | Phentermine Hydrochloride 37.5 MG Disintegrating Oral Tablet |
| 1300706 | lorcaserin hydrochloride 10 MG Oral Tablet |
| 1302827 | 24 HR Phentermine 7.5 MG / topiramate 46 MG Extended Release Oral Capsule |
| 1302839 | 24 HR Phentermine 3.75 MG / topiramate 23 MG Extended Release Oral Capsule |
| 1302850 | 24 HR Phentermine 15 MG / topiramate 92 MG Extended Release Oral Capsule |
| 1313059 | 24 HR Phentermine 11.25 MG / topiramate 69 MG Extended Release Oral Capsule |
| 1808549 | 24 HR lorcaserin hydrochloride 20 MG Extended Release Oral Tablet |
| 314153 | orlistat 120 MG Oral Capsule |
| 692876 | orlistat 60 MG Oral Capsule |
| 803348 | Phentermine Hydrochloride 37.5 MG Oral Capsule |
| 803353 | Phentermine Hydrochloride 37.5 MG Oral Tablet |
| 826131 | Phentermine Hydrochloride 18.8 MG Oral Capsule |
| 826919 | Phentermine Hydrochloride 8 MG Oral Tablet |
| 900038 | Phentermine Hydrochloride 30 MG Oral Capsule |
| 968766 | Phentermine Hydrochloride 15 MG Oral Capsule |
| 978654 | Diethylpropion Hydrochloride 25 MG Oral Tablet |
| 978668 | 24 HR Diethylpropion Hydrochloride 75 MG Extended Release Oral Tablet |
Valid Medications for Below Normal BMI:
| RXNORM: | |
| Code | Description |
| 197634 | dronabinol 10 MG Oral Capsule |
| 197635 | dronabinol 2.5 MG Oral Capsule |
| 197636 | dronabinol 5 MG Oral Capsule |
| 577154 | Megestrol Acetate 125 MG/ML Oral Suspension |
| 860215 | Megestrol Acetate 20 MG Oral Tablet |
| 860221 | Megestrol Acetate 40 MG Oral Tablet |
| 860225 | Megestrol Acetate 40 MG/ML Oral Suspension |
| 860231 | Megestrol Acetate 160 MG Oral Tablet |
BMI Measurement Guidance:
- Height and Weight – An eligible professional or their staff is required to measure both height and weight. Both height and weight must be measured within twelve months of the current encounter and may be obtained from separate encounters. Self-reported values cannot be used.
- The BMI may be documented in the medical record of the provider or in outside medical records obtained by the provider.
- If the most recent documented BMI is outside of normal parameters, then a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter.
- If more than one BMI is reported during the measurement period, the most recent BMI will be used to determine if the performance has been met.
- Review the exclusions and exceptions criteria to determine those patients that BMI measurement may not be appropriate or necessary.
Additional Information:
- This eCQM is a patient-based measure. This measure is to be reported a minimum of once per reporting period for patients seen during the reporting period.
- There is no diagnosis associated with this measure.
- This measure may be reported by eligible professionals who perform the quality actions described in the measure based on the services provided at the time of the qualifying visit and the measure-specific denominator coding.
- The SNOMED codes required for Overweight, Underweight, MUST be attached to either: the procedure code indicating Follow-Up Intervention; the same procedure code where the SNOMED for Follow-up or Referral Intervention are attached (Note: the BMI office encounter code can not be used); a procedure, other than the office encounter code, when prescribing the medication intervention.
- When using a SNOMED code for Patient, Medical or Other reason not performed: it MUST be attached to the same procedure as the Under/Overweight SNOMED code; the procedure code must also be marked as “Procedure Not Performed”; the procedure code can not be the BMI office encounter code.
- When using a SNOMED code for Follow-Up Intervention or Referral, it must be attached to the same procedure code as the Under/Overweight SNOMED code (Note: the BMI office encounter code cannot be used).
- The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes.