Liver and biliary tract disorders in childbirth

This code signifies the presence of liver or biliary tract conditions that arise or are exacerbated during the peripartum period, specifically from the onset of labor through 42 days postpartum. This includes conditions such as intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy, or cholelithiasis presenting or worsening during childbirth. It encompasses both new-onset and pre-existing liver/biliary disorders affecting the mother during this critical phase.

Apply this code when documentation clearly indicates a liver or biliary tract disorder impacting the patient during labor, delivery, or the immediate postpartum period. This includes conditions like cholestasis, cholecystitis, or hepatitis that are diagnosed or actively managed during the childbirth encounter. Supporting documentation would include physician notes detailing the diagnosis, symptoms, and management of the liver/biliary condition in relation to the childbirth episode.

• Ensure the documentation specifies the liver or biliary condition is occurring in childbirth (peripartum period) to differentiate from conditions in pregnancy or the puerperium.
• Do not use this code for liver/biliary conditions that resolved prior to labor or are diagnosed outside the specified childbirth timeframe.
• Sequence this code after the primary obstetric code (e.g., O80, O42.x) if the liver/biliary disorder is a complication of the childbirth encounter.