ICD-10 Coding for Cholestasis of Pregnancy(O26.61, O26.64, O26.641)
Learn about the ICD-10 coding for cholestasis of pregnancy, including trimester-specific codes, documentation requirements, and common coding pitfalls.
Complete code families applicable to Cholestasis of Pregnancy
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O26.641 | Intrahepatic cholestasis of pregnancy, first trimester | Use when intrahepatic cholestasis is diagnosed in the first trimester. |
|
| O26.642 | Intrahepatic cholestasis of pregnancy, second trimester | Use when intrahepatic cholestasis is diagnosed in the second trimester. |
|
| O26.643 | Intrahepatic cholestasis of pregnancy, third trimester | Use when intrahepatic cholestasis is diagnosed in the third trimester. |
|
| O26.649 | Intrahepatic cholestasis of pregnancy, unspecified trimester | Use when intrahepatic cholestasis is diagnosed but trimester is not specified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutCholestasis of Pregnancy
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Cholestasis of Pregnancy.
Failing to specify the trimester in documentation.
Impact
Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation
Always include trimester in clinical notes., Use templates to ensure completeness.
Using outdated codes like O26.61- for ICP.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with updated coding standards., Data Quality: Inaccurate data for clinical and research purposes.
Mitigation
Use the new O26.64- series codes with trimester specificity.
Not documenting the trimester of pregnancy.
Impact
Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation
Ensure documentation specifies the trimester for accurate coding.
Trimester documentation
Impact
Failure to document trimester can lead to audit issues.
Mitigation
Ensure all documentation includes trimester information.