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ICD-10 O99.11

Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy

ICD10 O99.11 Pregnancy, childbirth and the puerperium

Description

Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy

Common Specialties

Obstetrics and Gynecology

Documentation Requirements

  • Document clinical indications and clear medical necessity supporting the encounter or procedure.
  • Ensure complete provider signatures, credentials, date, and specific place of service (POS).
  • Verify documentation strictly supports code specificity to prevent downcoding or claim denials.

Billing & Coding Tips

  • Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
  • Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
  • Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.

Related Codes

O99 O99.0 O99.01 O99.011 O99.012 O99.013 O99.019 O99.02 O99.03 O99.1 O99.111 O99.112 O99.113 O99.119 O99.12

Quantum Health Services provides full-cycle revenue cycle management and medical billing services nationwide. This code reference is for educational purposes; always verify official payer policies. CPT© descriptors require proper AMA licensing.