AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 2; Ask the Editor

Cocaine Use and Pregnancy

Cocaine use during pregnancy is assigned a code from subcategory O99.32-, Drug use complicating pregnancy, childbirth, and the puerperium. At subcategory O99.32-, there is a note instructing, “Use additional codes from F11-F16, and F18-F19 to identify manifestations of the drug use.” However, the Official Guidelines for Coding and Reporting, Section I.C.5.b.3., pertaining to psychoactive substance use, states that codes for psychoactive substance use are to be used only when the psychoactive substance use is associated with a physical, mental or behavioral disorder, and such a relationship is documented by the provider. What is the correct code assignment for “cocaine use during pregnancy,” when the provider has not documented a related physical, mental or behavioral disorder? ...

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