Pregnancy supervision ICD-10 codes
Start with the primary code, then move to a more specific related code when the documentation supports it.
Z34.90 | Encounter for supervision of normal pregnancy, unspecified, unspecified trimester | ICD-10-CM |
Z34.91 | Encounter for supervision of normal pregnancy, unspecified, first trimester | ICD-10-CM |
Z34.92 | Encounter for supervision of normal pregnancy, unspecified, second trimester | ICD-10-CM |
Z34.93 | Encounter for supervision of normal pregnancy, unspecified, third trimester | ICD-10-CM |
O09.90 | Supervision of high risk pregnancy, unspecified, unspecified trimester | ICD-10-CM |
Z3A.20 | 20 weeks gestation of pregnancy | ICD-10-CM |
Use Z34.- for routine normal pregnancy supervision, with trimester specificity when documented. Use O09.- for high-risk pregnancy supervision. Add the appropriate Z3A.- weeks-of-gestation code when documented and required.
“Routine antenatal visit at 20 weeks gestation. No bleeding, contractions, headache, or visual symptoms. Fundal height appropriate, fetal movements present. Assessment: normal second-trimester pregnancy supervision.”
Paste a note or record audio. Notat’s FactsContext™ engine extracts the raw clinical facts first, then suggests codes from that context so you can inspect the evidence before using anything.
أمثلة
ملاحظة سريرية
عدّل المثال أو الصق ملاحظتك الخاصة.
نظام الترميز
الأكواد المستخرجة
تظل الأدلة مرفقة للمراجعة.
3
I10ICD-10-CM
Essential (primary) hypertension
الدليل: “Chief Complaint Elevated and fluctuating blood pressure readings.”
E78.5ICD-10-CM
Hyperlipidemia, unspecified
الدليل: “2. Hyperlipidemia. Clinically stable on atorvastatin.”
M19.90ICD-10-CM
Unspecified osteoarthritis, unspecified site
الدليل: “3. Osteoarthritis. Symptoms stable. Continue conservative management with acetaminophen as needed.”
FactsContext extracts clinical facts first: diagnoses, symptoms, negatives, findings, test results, medications, and plan decisions.
The clinician can read and reuse the extracted medical context directly, independent of the generated note.
AI suggestions are not a substitute for clinician judgment, payer rules, local coding policy, or the official code set.
FAQ
When do I use Z34.92?
Use Z34.92 for routine supervision of a normal pregnancy in the second trimester when no high-risk condition or complication is being coded as the primary reason.
When does pregnancy supervision become high risk?
When the clinician documents high-risk pregnancy supervision or a high-risk condition driving the visit, coding usually moves from Z34.- to O09.- or a complication code.
Can AI capture trimester and gestational age?
Notat extracts gestational age, trimester, risk status, symptoms, and assessment as clinical facts, then suggests the supported pregnancy-supervision codes with evidence.