Billing update for delivery claims
A gestational age diagnosis code (Z3A.XX) is required for professional and facility claims submitted for delivery services, with a date of service on and after July 1, 2020.
Claims submitted for early elective deliveries (prior to 39+0 weeks) also require an additional diagnosis code(s) to be considered medically necessary. A specific diagnosis code from one of the following series is required:
If the delivery is spontaneous and occurs prior to the 39th week of gestation, use the appropriate O60 series code.