2020 Measure Value Set Timeliness of Prenatal Care Numerator
FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Prenatal Bundled Services 59400 0 CPT Prenatal Bundled Services 59425 0 CPT Prenatal Bundled Services 59426 0 CPT Prenatal Bundled Services 59510 0 CPT Prenatal Bundled Services 59610 0 CPT Prenatal Bundled Services 59618 0 CPT Prenatal Bundled Prenatal care, at-risk enhanced service package Services H1005 (includes h1001-h1004) (H1005) HCPCS Stand Alone Prenatal Visits 99500 0 CPT
Initial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. Report also date of visit and, in a Stand Alone separate field, the date of the last menstrual period Prenatal Visits 0500F [LMP]) (Prenatal) CPT-CAT-II
Prenatal flow sheet documented in medical record by first prenatal visit (documentation includes at minimum blood pressure, weight, urine protein, uterine size, fetal heart tones, and estimated date of delivery). Report also: date of visit and, in a separate field, the date of the last menstrual period [LMP] (Note: If reporting 0501F Prenatal flow sheet, Stand Alone it is not necessary to report 0500F Initial prenatal Prenatal Visits 0501F care visit) (Prenatal) CPT-CAT-II
Subsequent prenatal care visit (Prenatal) [Excludes: patients who are seen for a condition unrelated to pregnancy or prenatal care (eg, an upper Stand Alone respiratory infection; patients seen for consultation Prenatal Visits 0502F only, not for continuing care)] CPT-CAT-II Stand Alone Prenatal Visits H1000 Prenatal care, at-risk assessment (H1000) HCPCS Stand Alone Prenatal care, at-risk enhanced service; antepartum Prenatal Visits H1001 management (H1001) HCPCS Stand Alone Prenatal care, at risk enhanced service; care Prenatal Visits H1002 coordination (H1002) HCPCS Stand Alone Prenatal care, at-risk enhanced service; education Prenatal Visits H1003 (H1003) HCPCS Stand Alone Prenatal care, at-risk enhanced service; follow-up Prenatal Visits H1004 home visit (H1004) HCPCS
Page 1 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Stand Alone Prenatal Visits 17629007 Prenatal care education (procedure) SNOMED CT US Edition Stand Alone Prenatal examination and care of mother Prenatal Visits 18114009 (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 58932009 Individual natural childbirth education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 66961001 Natural childbirth class education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 134435003 Routine antenatal care (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 135892000 Antenatal education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169712008 Antenatal 12 weeks examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169713003 Antenatal 16 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169714009 Antenatal 20 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169715005 Antenatal 24 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169716006 Antenatal 28 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169717002 Antenatal 30 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169718007 Antenatal 32 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169719004 Antenatal 34 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169720005 Antenatal 35 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169721009 Antenatal 36 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169722002 Antenatal 37 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169723007 Antenatal 38 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169724001 Antenatal 39 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169725000 Antenatal 40 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169726004 Antenatal 41 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169727008 Antenatal 42 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171054004 Pregnancy diet education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171055003 Pregnancy smoking education (procedure) SNOMED CT US Edition
Page 2 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Stand Alone Prenatal Visits 171056002 Pregnancy exercise education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171057006 Pregnancy alcohol education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171058001 Drugs in pregnancy education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171059009 Pregnancy dental education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171060004 Maternity grant education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171061000 Maternity benefit education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171062007 Maternity milk and vitamins education (procedure) SNOMED CT US Edition Stand Alone Pregnancy prescription exemption education Prenatal Visits 171063002 (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171064008 Mothercraft education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 386235000 Childbirth preparation (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 386322007 High risk pregnancy care (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 397931005 Lamaze method education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 406145006 Layette education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 409010002 Antenatal care assessment (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 422808006 Prenatal continuous visit (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 424441002 Prenatal initial visit (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 424525001 Antenatal care (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 424619006 Prenatal visit (regime/therapy) SNOMED CT US Edition Stand Alone Education about influenza vaccine during pregnancy Prenatal Visits 439165004 (procedure) SNOMED CT US Edition Stand Alone Education about toxoplasmosis precautions during Prenatal Visits 439733009 pregnancy (procedure) SNOMED CT US Edition Stand Alone Education about travel during pregnancy Prenatal Visits 439816006 (procedure) SNOMED CT US Edition Stand Alone Education about selection of newborn care provider Prenatal Visits 439908001 (procedure) SNOMED CT US Edition Stand Alone Education about risk factor identified by prenatal Prenatal Visits 440047008 history (procedure) SNOMED CT US Edition Stand Alone Education about indication for prenatal ultrasound Prenatal Visits 440227005 (procedure) SNOMED CT US Edition
Page 3 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Stand Alone Education about fetal movement monitoring Prenatal Visits 440309009 (procedure) SNOMED CT US Edition Stand Alone Education about signs and symptoms of pregnancy Prenatal Visits 440536005 induced hypertension (procedure) SNOMED CT US Edition Stand Alone Education about seatbelt use during pregnancy Prenatal Visits 440638004 (procedure) SNOMED CT US Edition Stand Alone Education about signs and symptoms of preterm Prenatal Visits 440669000 labor (procedure) SNOMED CT US Edition Stand Alone Education about medication intake during Prenatal Visits 440670004 pregnancy (procedure) SNOMED CT US Edition Stand Alone Education about signs and symptoms of labor Prenatal Visits 440671000 (procedure) SNOMED CT US Edition Stand Alone Education about folic acid in first trimester Prenatal Visits 441839001 (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 700256000 Management of antenatal education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 702396006 Childbirth education (procedure) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702736005 previous cesarean section (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702737001 gestational diabetes mellitus (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 702738006 Supervision of high risk pregnancy (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702739003 previous molar pregnancy (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702740001 previous precipitate labor (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy for multigravida Prenatal Visits 702741002 (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy for social Prenatal Visits 702742009 problem (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy for multigravida Prenatal Visits 702743004 age 15 years or younger (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy for primigravida Prenatal Visits 702744005 age 15 years or younger (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 710970004 Prenatal assessment of breastfeeding (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 713076009 Antenatal risk assessment (procedure) SNOMED CT US Edition
Page 4 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 713233004 previous neonatal death (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 713234005 previous intrauterine death (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 713235006 previous antepartum hemorrhage (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 713237003 previous big baby (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 713238008 previous abnormal baby (regime/therapy) SNOMED CT US Edition Supervision of high risk pregnancy with history of Stand Alone previous primary postpartum hemorrhage Prenatal Visits 713239000 (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with poor Prenatal Visits 713240003 obstetric history (regime/therapy) SNOMED CT US Edition
Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 713241004 previous fetal distress (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with poor Prenatal Visits 713242006 reproductive history (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy for maternal Prenatal Visits 713386003 short stature (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with family Prenatal Visits 713387007 history of diabetes mellitus (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of pregnancy with history of infertility Prenatal Visits 717794008 (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of pregnancy with history of insufficient Prenatal Visits 717795009 antenatal care (regime/therapy) SNOMED CT US Edition Prenatal Visits 99201 0 CPT Prenatal Visits 99202 0 CPT Prenatal Visits 99203 0 CPT Prenatal Visits 99204 0 CPT Prenatal Visits 99205 0 CPT Prenatal Visits 99211 0 CPT Prenatal Visits 99212 0 CPT Prenatal Visits 99213 0 CPT Prenatal Visits 99214 0 CPT Prenatal Visits 99215 0 CPT Prenatal Visits 99241 0 CPT Prenatal Visits 99242 0 CPT Prenatal Visits 99243 0 CPT Prenatal Visits 99244 0 CPT Prenatal Visits 99245 0 CPT Prenatal Visits 99483 0 CPT
Page 5 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Hospital outpatient clinic visit for assessment and Prenatal Visits G0463 management of a patient (G0463) HCPCS Prenatal Visits T1015 Clinic visit/encounter, all-inclusive (T1015) HCPCS
Prenatal Visits 17436001 Medical consultation with outpatient (procedure) SNOMED CT US Edition
Prenatal Visits 77406008 Confirmatory medical consultation (procedure) SNOMED CT US Edition
Prenatal Visits 281036007 Follow-up consultation (procedure) SNOMED CT US Edition Pregnancy [O09.00] Supervision of pregnancy with history of Diagnosis O09.00 infertility, unspecified trimester ICD10CM Pregnancy [O09.01] Supervision of pregnancy with history of Diagnosis O09.01 infertility, first trimester ICD10CM Pregnancy [O09.02] Supervision of pregnancy with history of Diagnosis O09.02 infertility, second trimester ICD10CM Pregnancy [O09.03] Supervision of pregnancy with history of Diagnosis O09.03 infertility, third trimester ICD10CM
Pregnancy [O09.10] Supervision of pregnancy with history of Diagnosis O09.10 ectopic pregnancy, unspecified trimester ICD10CM Pregnancy [O09.11] Supervision of pregnancy with history of Diagnosis O09.11 ectopic pregnancy, first trimester ICD10CM
Pregnancy [O09.12] Supervision of pregnancy with history of Diagnosis O09.12 ectopic pregnancy, second trimester ICD10CM Pregnancy [O09.13] Supervision of pregnancy with history of Diagnosis O09.13 ectopic pregnancy, third trimester ICD10CM Pregnancy [O09.211] Supervision of pregnancy with history of Diagnosis O09.211 pre-term labor, first trimester ICD10CM Pregnancy [O09.212] Supervision of pregnancy with history of Diagnosis O09.212 pre-term labor, second trimester ICD10CM Pregnancy [O09.213] Supervision of pregnancy with history of Diagnosis O09.213 pre-term labor, third trimester ICD10CM
Pregnancy [O09.219] Supervision of pregnancy with history of Diagnosis O09.219 pre-term labor, unspecified trimester ICD10CM
Pregnancy [O09.291] Supervision of pregnancy with other poor Diagnosis O09.291 reproductive or obstetric history, first trimester ICD10CM
Pregnancy [O09.292] Supervision of pregnancy with other poor Diagnosis O09.292 reproductive or obstetric history, second trimester ICD10CM
Pregnancy [O09.293] Supervision of pregnancy with other poor Diagnosis O09.293 reproductive or obstetric history, third trimester ICD10CM [O09.299] Supervision of pregnancy with other poor Pregnancy reproductive or obstetric history, unspecified Diagnosis O09.299 trimester ICD10CM
Page 6 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O09.30] Supervision of pregnancy with insufficient Diagnosis O09.30 antenatal care, unspecified trimester ICD10CM Pregnancy [O09.31] Supervision of pregnancy with insufficient Diagnosis O09.31 antenatal care, first trimester ICD10CM Pregnancy [O09.32] Supervision of pregnancy with insufficient Diagnosis O09.32 antenatal care, second trimester ICD10CM Pregnancy [O09.33] Supervision of pregnancy with insufficient Diagnosis O09.33 antenatal care, third trimester ICD10CM Pregnancy [O09.40] Supervision of pregnancy with grand Diagnosis O09.40 multiparity, unspecified trimester ICD10CM Pregnancy [O09.41] Supervision of pregnancy with grand Diagnosis O09.41 multiparity, first trimester ICD10CM Pregnancy [O09.42] Supervision of pregnancy with grand Diagnosis O09.42 multiparity, second trimester ICD10CM Pregnancy [O09.43] Supervision of pregnancy with grand Diagnosis O09.43 multiparity, third trimester ICD10CM Pregnancy [O09.511] Supervision of elderly primigravida, first Diagnosis O09.511 trimester ICD10CM Pregnancy [O09.512] Supervision of elderly primigravida, Diagnosis O09.512 second trimester ICD10CM Pregnancy [O09.513] Supervision of elderly primigravida, third Diagnosis O09.513 trimester ICD10CM Pregnancy [O09.519] Supervision of elderly primigravida, Diagnosis O09.519 unspecified trimester ICD10CM Pregnancy [O09.521] Supervision of elderly multigravida, first Diagnosis O09.521 trimester ICD10CM Pregnancy [O09.522] Supervision of elderly multigravida, Diagnosis O09.522 second trimester ICD10CM Pregnancy [O09.523] Supervision of elderly multigravida, third Diagnosis O09.523 trimester ICD10CM Pregnancy [O09.529] Supervision of elderly multigravida, Diagnosis O09.529 unspecified trimester ICD10CM Pregnancy [O09.611] Supervision of young primigravida, first Diagnosis O09.611 trimester ICD10CM Pregnancy [O09.612] Supervision of young primigravida, Diagnosis O09.612 second trimester ICD10CM Pregnancy [O09.613] Supervision of young primigravida, third Diagnosis O09.613 trimester ICD10CM Pregnancy [O09.619] Supervision of young primigravida, Diagnosis O09.619 unspecified trimester ICD10CM Pregnancy [O09.621] Supervision of young multigravida, first Diagnosis O09.621 trimester ICD10CM Pregnancy [O09.622] Supervision of young multigravida, Diagnosis O09.622 second trimester ICD10CM Pregnancy [O09.623] Supervision of young multigravida, third Diagnosis O09.623 trimester ICD10CM
Page 7 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O09.629] Supervision of young multigravida, Diagnosis O09.629 unspecified trimester ICD10CM Pregnancy [O09.70] Supervision of high risk pregnancy due to Diagnosis O09.70 social problems, unspecified trimester ICD10CM Pregnancy [O09.71] Supervision of high risk pregnancy due to Diagnosis O09.71 social problems, first trimester ICD10CM Pregnancy [O09.72] Supervision of high risk pregnancy due to Diagnosis O09.72 social problems, second trimester ICD10CM Pregnancy [O09.73] Supervision of high risk pregnancy due to Diagnosis O09.73 social problems, third trimester ICD10CM
Pregnancy [O09.811] Supervision of pregnancy resulting from Diagnosis O09.811 assisted reproductive technology, first trimester ICD10CM
Pregnancy [O09.812] Supervision of pregnancy resulting from Diagnosis O09.812 assisted reproductive technology, second trimester ICD10CM
Pregnancy [O09.813] Supervision of pregnancy resulting from Diagnosis O09.813 assisted reproductive technology, third trimester ICD10CM [O09.819] Supervision of pregnancy resulting from Pregnancy assisted reproductive technology, unspecified Diagnosis O09.819 trimester ICD10CM [O09.821] Supervision of pregnancy with history of Pregnancy in utero procedure during previous pregnancy, first Diagnosis O09.821 trimester ICD10CM [O09.822] Supervision of pregnancy with history of Pregnancy in utero procedure during previous pregnancy, Diagnosis O09.822 second trimester ICD10CM [O09.823] Supervision of pregnancy with history of Pregnancy in utero procedure during previous pregnancy, third Diagnosis O09.823 trimester ICD10CM [O09.829] Supervision of pregnancy with history of Pregnancy in utero procedure during previous pregnancy, Diagnosis O09.829 unspecified trimester ICD10CM Pregnancy [O09.891] Supervision of other high risk Diagnosis O09.891 pregnancies, first trimester ICD10CM Pregnancy [O09.892] Supervision of other high risk Diagnosis O09.892 pregnancies, second trimester ICD10CM Pregnancy [O09.893] Supervision of other high risk Diagnosis O09.893 pregnancies, third trimester ICD10CM Pregnancy [O09.899] Supervision of other high risk Diagnosis O09.899 pregnancies, unspecified trimester ICD10CM Pregnancy [O09.90] Supervision of high risk pregnancy, Diagnosis O09.90 unspecified, unspecified trimester ICD10CM Pregnancy [O09.91] Supervision of high risk pregnancy, Diagnosis O09.91 unspecified, first trimester ICD10CM Pregnancy [O09.92] Supervision of high risk pregnancy, Diagnosis O09.92 unspecified, second trimester ICD10CM
Page 8 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O09.93] Supervision of high risk pregnancy, Diagnosis O09.93 unspecified, third trimester ICD10CM
Pregnancy [O09.A0] Supervision of pregnancy with history of Diagnosis O09.A0 molar pregnancy, unspecified trimester ICD10CM Pregnancy [O09.A1] Supervision of pregnancy with history of Diagnosis O09.A1 molar pregnancy, first trimester ICD10CM Pregnancy [O09.A2] Supervision of pregnancy with history of Diagnosis O09.A2 molar pregnancy, second trimester ICD10CM Pregnancy [O09.A3] Supervision of pregnancy with history of Diagnosis O09.A3 molar pregnancy, third trimester ICD10CM Pregnancy [O10.011] Pre-existing essential hypertension Diagnosis O10.011 complicating pregnancy, first trimester ICD10CM Pregnancy [O10.012] Pre-existing essential hypertension Diagnosis O10.012 complicating pregnancy, second trimester ICD10CM Pregnancy [O10.013] Pre-existing essential hypertension Diagnosis O10.013 complicating pregnancy, third trimester ICD10CM
Pregnancy [O10.019] Pre-existing essential hypertension Diagnosis O10.019 complicating pregnancy, unspecified trimester ICD10CM
Pregnancy [O10.111] Pre-existing hypertensive heart disease Diagnosis O10.111 complicating pregnancy, first trimester ICD10CM
Pregnancy [O10.112] Pre-existing hypertensive heart disease Diagnosis O10.112 complicating pregnancy, second trimester ICD10CM
Pregnancy [O10.113] Pre-existing hypertensive heart disease Diagnosis O10.113 complicating pregnancy, third trimester ICD10CM
Pregnancy [O10.119] Pre-existing hypertensive heart disease Diagnosis O10.119 complicating pregnancy, unspecified trimester ICD10CM
Pregnancy [O10.211] Pre-existing hypertensive chronic kidney Diagnosis O10.211 disease complicating pregnancy, first trimester ICD10CM
Pregnancy [O10.212] Pre-existing hypertensive chronic kidney Diagnosis O10.212 disease complicating pregnancy, second trimester ICD10CM
Pregnancy [O10.213] Pre-existing hypertensive chronic kidney Diagnosis O10.213 disease complicating pregnancy, third trimester ICD10CM [O10.219] Pre-existing hypertensive chronic kidney Pregnancy disease complicating pregnancy, unspecified Diagnosis O10.219 trimester ICD10CM [O10.311] Pre-existing hypertensive heart and Pregnancy chronic kidney disease complicating pregnancy, first Diagnosis O10.311 trimester ICD10CM
Page 9 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O10.312] Pre-existing hypertensive heart and Pregnancy chronic kidney disease complicating pregnancy, Diagnosis O10.312 second trimester ICD10CM [O10.313] Pre-existing hypertensive heart and Pregnancy chronic kidney disease complicating pregnancy, Diagnosis O10.313 third trimester ICD10CM [O10.319] Pre-existing hypertensive heart and Pregnancy chronic kidney disease complicating pregnancy, Diagnosis O10.319 unspecified trimester ICD10CM
Pregnancy [O10.411] Pre-existing secondary hypertension Diagnosis O10.411 complicating pregnancy, first trimester ICD10CM
Pregnancy [O10.412] Pre-existing secondary hypertension Diagnosis O10.412 complicating pregnancy, second trimester ICD10CM
Pregnancy [O10.413] Pre-existing secondary hypertension Diagnosis O10.413 complicating pregnancy, third trimester ICD10CM
Pregnancy [O10.419] Pre-existing secondary hypertension Diagnosis O10.419 complicating pregnancy, unspecified trimester ICD10CM
Pregnancy [O10.911] Unspecified pre-existing hypertension Diagnosis O10.911 complicating pregnancy, first trimester ICD10CM
Pregnancy [O10.912] Unspecified pre-existing hypertension Diagnosis O10.912 complicating pregnancy, second trimester ICD10CM
Pregnancy [O10.913] Unspecified pre-existing hypertension Diagnosis O10.913 complicating pregnancy, third trimester ICD10CM
Pregnancy [O10.919] Unspecified pre-existing hypertension Diagnosis O10.919 complicating pregnancy, unspecified trimester ICD10CM Pregnancy [O11.1] Pre-existing hypertension with pre- Diagnosis O11.1 eclampsia, first trimester ICD10CM Pregnancy [O11.2] Pre-existing hypertension with pre- Diagnosis O11.2 eclampsia, second trimester ICD10CM Pregnancy [O11.3] Pre-existing hypertension with pre- Diagnosis O11.3 eclampsia, third trimester ICD10CM Pregnancy [O11.9] Pre-existing hypertension with pre- Diagnosis O11.9 eclampsia, unspecified trimester ICD10CM Pregnancy Diagnosis O12.00 [O12.00] Gestational edema, unspecified trimester ICD10CM Pregnancy Diagnosis O12.01 [O12.01] Gestational edema, first trimester ICD10CM Pregnancy Diagnosis O12.02 [O12.02] Gestational edema, second trimester ICD10CM
Page 10 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy Diagnosis O12.03 [O12.03] Gestational edema, third trimester ICD10CM Pregnancy [O12.10] Gestational proteinuria, unspecified Diagnosis O12.10 trimester ICD10CM Pregnancy Diagnosis O12.11 [O12.11] Gestational proteinuria, first trimester ICD10CM Pregnancy Diagnosis O12.12 [O12.12] Gestational proteinuria, second trimester ICD10CM Pregnancy Diagnosis O12.13 [O12.13] Gestational proteinuria, third trimester ICD10CM Pregnancy [O12.20] Gestational edema with proteinuria, Diagnosis O12.20 unspecified trimester ICD10CM Pregnancy [O12.21] Gestational edema with proteinuria, first Diagnosis O12.21 trimester ICD10CM Pregnancy [O12.22] Gestational edema with proteinuria, Diagnosis O12.22 second trimester ICD10CM Pregnancy [O12.23] Gestational edema with proteinuria, third Diagnosis O12.23 trimester ICD10CM [O13.1] Gestational [pregnancy-induced] Pregnancy hypertension without significant proteinuria, first Diagnosis O13.1 trimester ICD10CM [O13.2] Gestational [pregnancy-induced] Pregnancy hypertension without significant proteinuria, Diagnosis O13.2 second trimester ICD10CM [O13.3] Gestational [pregnancy-induced] Pregnancy hypertension without significant proteinuria, third Diagnosis O13.3 trimester ICD10CM [O13.9] Gestational [pregnancy-induced] Pregnancy hypertension without significant proteinuria, Diagnosis O13.9 unspecified trimester ICD10CM Pregnancy [O14.00] Mild to moderate pre-eclampsia, Diagnosis O14.00 unspecified trimester ICD10CM Pregnancy [O14.02] Mild to moderate pre-eclampsia, second Diagnosis O14.02 trimester ICD10CM Pregnancy [O14.03] Mild to moderate pre-eclampsia, third Diagnosis O14.03 trimester ICD10CM Pregnancy [O14.10] Severe pre-eclampsia, unspecified Diagnosis O14.10 trimester ICD10CM Pregnancy Diagnosis O14.12 [O14.12] Severe pre-eclampsia, second trimester ICD10CM Pregnancy Diagnosis O14.13 [O14.13] Severe pre-eclampsia, third trimester ICD10CM Pregnancy [O14.20] HELLP syndrome (HELLP), unspecified Diagnosis O14.20 trimester ICD10CM Pregnancy Diagnosis O14.22 [O14.22] HELLP syndrome (HELLP), second trimester ICD10CM Pregnancy Diagnosis O14.23 [O14.23] HELLP syndrome (HELLP), third trimester ICD10CM
Page 11 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O14.90] Unspecified pre-eclampsia, unspecified Diagnosis O14.90 trimester ICD10CM Pregnancy [O14.92] Unspecified pre-eclampsia, second Diagnosis O14.92 trimester ICD10CM Pregnancy Diagnosis O14.93 [O14.93] Unspecified pre-eclampsia, third trimester ICD10CM Pregnancy [O15.00] Eclampsia complicating pregnancy, Diagnosis O15.00 unspecified trimester ICD10CM Pregnancy [O15.02] Eclampsia complicating pregnancy, second Diagnosis O15.02 trimester ICD10CM Pregnancy [O15.03] Eclampsia complicating pregnancy, third Diagnosis O15.03 trimester ICD10CM Pregnancy Diagnosis O15.1 [O15.1] Eclampsia complicating labor ICD10CM Pregnancy Diagnosis O15.9 [O15.9] Eclampsia, unspecified as to time period ICD10CM Pregnancy [O16.1] Unspecified maternal hypertension, first Diagnosis O16.1 trimester ICD10CM Pregnancy [O16.2] Unspecified maternal hypertension, second Diagnosis O16.2 trimester ICD10CM Pregnancy [O16.3] Unspecified maternal hypertension, third Diagnosis O16.3 trimester ICD10CM Pregnancy [O16.9] Unspecified maternal hypertension, Diagnosis O16.9 unspecified trimester ICD10CM Pregnancy Diagnosis O20.0 [O20.0] Threatened abortion ICD10CM Pregnancy Diagnosis O20.8 [O20.8] Other hemorrhage in early pregnancy ICD10CM Pregnancy Diagnosis O20.9 [O20.9] Hemorrhage in early pregnancy, unspecified ICD10CM Pregnancy Diagnosis O21.0 [O21.0] Mild hyperemesis gravidarum ICD10CM Pregnancy [O21.1] Hyperemesis gravidarum with metabolic Diagnosis O21.1 disturbance ICD10CM Pregnancy Diagnosis O21.2 [O21.2] Late vomiting of pregnancy ICD10CM Pregnancy Diagnosis O21.8 [O21.8] Other vomiting complicating pregnancy ICD10CM Pregnancy Diagnosis O21.9 [O21.9] Vomiting of pregnancy, unspecified ICD10CM Pregnancy [O22.00] Varicose veins of lower extremity in Diagnosis O22.00 pregnancy, unspecified trimester ICD10CM Pregnancy [O22.01] Varicose veins of lower extremity in Diagnosis O22.01 pregnancy, first trimester ICD10CM Pregnancy [O22.02] Varicose veins of lower extremity in Diagnosis O22.02 pregnancy, second trimester ICD10CM Pregnancy [O22.03] Varicose veins of lower extremity in Diagnosis O22.03 pregnancy, third trimester ICD10CM
Page 12 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O22.10] Genital varices in pregnancy, unspecified Diagnosis O22.10 trimester ICD10CM Pregnancy [O22.11] Genital varices in pregnancy, first Diagnosis O22.11 trimester ICD10CM Pregnancy [O22.12] Genital varices in pregnancy, second Diagnosis O22.12 trimester ICD10CM Pregnancy [O22.13] Genital varices in pregnancy, third Diagnosis O22.13 trimester ICD10CM Pregnancy [O22.20] Superficial thrombophlebitis in pregnancy, Diagnosis O22.20 unspecified trimester ICD10CM Pregnancy [O22.21] Superficial thrombophlebitis in pregnancy, Diagnosis O22.21 first trimester ICD10CM Pregnancy [O22.22] Superficial thrombophlebitis in pregnancy, Diagnosis O22.22 second trimester ICD10CM Pregnancy [O22.23] Superficial thrombophlebitis in pregnancy, Diagnosis O22.23 third trimester ICD10CM Pregnancy [O22.30] Deep phlebothrombosis in pregnancy, Diagnosis O22.30 unspecified trimester ICD10CM Pregnancy [O22.31] Deep phlebothrombosis in pregnancy, first Diagnosis O22.31 trimester ICD10CM Pregnancy [O22.32] Deep phlebothrombosis in pregnancy, Diagnosis O22.32 second trimester ICD10CM Pregnancy [O22.33] Deep phlebothrombosis in pregnancy, Diagnosis O22.33 third trimester ICD10CM Pregnancy [O22.40] Hemorrhoids in pregnancy, unspecified Diagnosis O22.40 trimester ICD10CM Pregnancy Diagnosis O22.41 [O22.41] Hemorrhoids in pregnancy, first trimester ICD10CM Pregnancy [O22.42] Hemorrhoids in pregnancy, second Diagnosis O22.42 trimester ICD10CM Pregnancy Diagnosis O22.43 [O22.43] Hemorrhoids in pregnancy, third trimester ICD10CM Pregnancy [O22.50] Cerebral venous thrombosis in pregnancy, Diagnosis O22.50 unspecified trimester ICD10CM Pregnancy [O22.51] Cerebral venous thrombosis in pregnancy, Diagnosis O22.51 first trimester ICD10CM Pregnancy [O22.52] Cerebral venous thrombosis in pregnancy, Diagnosis O22.52 second trimester ICD10CM Pregnancy [O22.53] Cerebral venous thrombosis in pregnancy, Diagnosis O22.53 third trimester ICD10CM Pregnancy [O22.8X1] Other venous complications in Diagnosis O22.8X1 pregnancy, first trimester ICD10CM Pregnancy [O22.8X2] Other venous complications in Diagnosis O22.8X2 pregnancy, second trimester ICD10CM Pregnancy [O22.8X3] Other venous complications in Diagnosis O22.8X3 pregnancy, third trimester ICD10CM Pregnancy [O22.8X9] Other venous complications in Diagnosis O22.8X9 pregnancy, unspecified trimester ICD10CM
Page 13 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O22.90] Venous complication in pregnancy, Diagnosis O22.90 unspecified, unspecified trimester ICD10CM Pregnancy [O22.91] Venous complication in pregnancy, Diagnosis O22.91 unspecified, first trimester ICD10CM Pregnancy [O22.92] Venous complication in pregnancy, Diagnosis O22.92 unspecified, second trimester ICD10CM Pregnancy [O22.93] Venous complication in pregnancy, Diagnosis O22.93 unspecified, third trimester ICD10CM Pregnancy [O23.00] Infections of kidney in pregnancy, Diagnosis O23.00 unspecified trimester ICD10CM Pregnancy [O23.01] Infections of kidney in pregnancy, first Diagnosis O23.01 trimester ICD10CM Pregnancy [O23.02] Infections of kidney in pregnancy, second Diagnosis O23.02 trimester ICD10CM Pregnancy [O23.03] Infections of kidney in pregnancy, third Diagnosis O23.03 trimester ICD10CM Pregnancy [O23.10] Infections of bladder in pregnancy, Diagnosis O23.10 unspecified trimester ICD10CM Pregnancy [O23.11] Infections of bladder in pregnancy, first Diagnosis O23.11 trimester ICD10CM Pregnancy [O23.12] Infections of bladder in pregnancy, second Diagnosis O23.12 trimester ICD10CM Pregnancy [O23.13] Infections of bladder in pregnancy, third Diagnosis O23.13 trimester ICD10CM Pregnancy [O23.20] Infections of urethra in pregnancy, Diagnosis O23.20 unspecified trimester ICD10CM Pregnancy [O23.21] Infections of urethra in pregnancy, first Diagnosis O23.21 trimester ICD10CM Pregnancy [O23.22] Infections of urethra in pregnancy, second Diagnosis O23.22 trimester ICD10CM Pregnancy [O23.23] Infections of urethra in pregnancy, third Diagnosis O23.23 trimester ICD10CM Pregnancy [O23.30] Infections of other parts of urinary tract in Diagnosis O23.30 pregnancy, unspecified trimester ICD10CM Pregnancy [O23.31] Infections of other parts of urinary tract in Diagnosis O23.31 pregnancy, first trimester ICD10CM Pregnancy [O23.32] Infections of other parts of urinary tract in Diagnosis O23.32 pregnancy, second trimester ICD10CM Pregnancy [O23.33] Infections of other parts of urinary tract in Diagnosis O23.33 pregnancy, third trimester ICD10CM Pregnancy [O23.40] Unspecified infection of urinary tract in Diagnosis O23.40 pregnancy, unspecified trimester ICD10CM Pregnancy [O23.41] Unspecified infection of urinary tract in Diagnosis O23.41 pregnancy, first trimester ICD10CM Pregnancy [O23.42] Unspecified infection of urinary tract in Diagnosis O23.42 pregnancy, second trimester ICD10CM Pregnancy [O23.43] Unspecified infection of urinary tract in Diagnosis O23.43 pregnancy, third trimester ICD10CM
Page 14 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O23.511] Infections of cervix in pregnancy, first Diagnosis O23.511 trimester ICD10CM Pregnancy [O23.512] Infections of cervix in pregnancy, second Diagnosis O23.512 trimester ICD10CM Pregnancy [O23.513] Infections of cervix in pregnancy, third Diagnosis O23.513 trimester ICD10CM Pregnancy [O23.519] Infections of cervix in pregnancy, Diagnosis O23.519 unspecified trimester ICD10CM Pregnancy [O23.521] Salpingo-oophoritis in pregnancy, first Diagnosis O23.521 trimester ICD10CM Pregnancy [O23.522] Salpingo-oophoritis in pregnancy, second Diagnosis O23.522 trimester ICD10CM Pregnancy [O23.523] Salpingo-oophoritis in pregnancy, third Diagnosis O23.523 trimester ICD10CM Pregnancy [O23.529] Salpingo-oophoritis in pregnancy, Diagnosis O23.529 unspecified trimester ICD10CM Pregnancy [O23.591] Infection of other part of genital tract in Diagnosis O23.591 pregnancy, first trimester ICD10CM Pregnancy [O23.592] Infection of other part of genital tract in Diagnosis O23.592 pregnancy, second trimester ICD10CM Pregnancy [O23.593] Infection of other part of genital tract in Diagnosis O23.593 pregnancy, third trimester ICD10CM Pregnancy [O23.599] Infection of other part of genital tract in Diagnosis O23.599 pregnancy, unspecified trimester ICD10CM Pregnancy [O23.90] Unspecified genitourinary tract infection Diagnosis O23.90 in pregnancy, unspecified trimester ICD10CM Pregnancy [O23.91] Unspecified genitourinary tract infection Diagnosis O23.91 in pregnancy, first trimester ICD10CM Pregnancy [O23.92] Unspecified genitourinary tract infection Diagnosis O23.92 in pregnancy, second trimester ICD10CM Pregnancy [O23.93] Unspecified genitourinary tract infection Diagnosis O23.93 in pregnancy, third trimester ICD10CM Pregnancy [O24.011] Pre-existing type 1 diabetes mellitus, in Diagnosis O24.011 pregnancy, first trimester ICD10CM Pregnancy [O24.012] Pre-existing type 1 diabetes mellitus, in Diagnosis O24.012 pregnancy, second trimester ICD10CM Pregnancy [O24.013] Pre-existing type 1 diabetes mellitus, in Diagnosis O24.013 pregnancy, third trimester ICD10CM Pregnancy [O24.019] Pre-existing type 1 diabetes mellitus, in Diagnosis O24.019 pregnancy, unspecified trimester ICD10CM Pregnancy [O24.111] Pre-existing type 2 diabetes mellitus, in Diagnosis O24.111 pregnancy, first trimester ICD10CM Pregnancy [O24.112] Pre-existing type 2 diabetes mellitus, in Diagnosis O24.112 pregnancy, second trimester ICD10CM Pregnancy [O24.113] Pre-existing type 2 diabetes mellitus, in Diagnosis O24.113 pregnancy, third trimester ICD10CM Pregnancy [O24.119] Pre-existing type 2 diabetes mellitus, in Diagnosis O24.119 pregnancy, unspecified trimester ICD10CM
Page 15 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O24.311] Unspecified pre-existing diabetes Diagnosis O24.311 mellitus in pregnancy, first trimester ICD10CM Pregnancy [O24.312] Unspecified pre-existing diabetes Diagnosis O24.312 mellitus in pregnancy, second trimester ICD10CM Pregnancy [O24.313] Unspecified pre-existing diabetes Diagnosis O24.313 mellitus in pregnancy, third trimester ICD10CM Pregnancy [O24.319] Unspecified pre-existing diabetes Diagnosis O24.319 mellitus in pregnancy, unspecified trimester ICD10CM Pregnancy [O24.410] Gestational diabetes mellitus in Diagnosis O24.410 pregnancy, diet controlled ICD10CM Pregnancy [O24.414] Gestational diabetes mellitus in Diagnosis O24.414 pregnancy, insulin controlled ICD10CM
Pregnancy [O24.415] Gestational diabetes mellitus in Diagnosis O24.415 pregnancy, controlled by oral hypoglycemic drugs ICD10CM Pregnancy [O24.419] Gestational diabetes mellitus in Diagnosis O24.419 pregnancy, unspecified control ICD10CM Pregnancy [O24.811] Other pre-existing diabetes mellitus in Diagnosis O24.811 pregnancy, first trimester ICD10CM Pregnancy [O24.812] Other pre-existing diabetes mellitus in Diagnosis O24.812 pregnancy, second trimester ICD10CM Pregnancy [O24.813] Other pre-existing diabetes mellitus in Diagnosis O24.813 pregnancy, third trimester ICD10CM Pregnancy [O24.819] Other pre-existing diabetes mellitus in Diagnosis O24.819 pregnancy, unspecified trimester ICD10CM Pregnancy [O24.911] Unspecified diabetes mellitus in Diagnosis O24.911 pregnancy, first trimester ICD10CM Pregnancy [O24.912] Unspecified diabetes mellitus in Diagnosis O24.912 pregnancy, second trimester ICD10CM Pregnancy [O24.913] Unspecified diabetes mellitus in Diagnosis O24.913 pregnancy, third trimester ICD10CM Pregnancy [O24.919] Unspecified diabetes mellitus in Diagnosis O24.919 pregnancy, unspecified trimester ICD10CM Pregnancy [O25.10] Malnutrition in pregnancy, unspecified Diagnosis O25.10 trimester ICD10CM Pregnancy Diagnosis O25.11 [O25.11] Malnutrition in pregnancy, first trimester ICD10CM Pregnancy [O25.12] Malnutrition in pregnancy, second Diagnosis O25.12 trimester ICD10CM Pregnancy Diagnosis O25.13 [O25.13] Malnutrition in pregnancy, third trimester ICD10CM Pregnancy [O26.00] Excessive weight gain in pregnancy, Diagnosis O26.00 unspecified trimester ICD10CM Pregnancy [O26.01] Excessive weight gain in pregnancy, first Diagnosis O26.01 trimester ICD10CM Pregnancy [O26.02] Excessive weight gain in pregnancy, Diagnosis O26.02 second trimester ICD10CM
Page 16 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O26.03] Excessive weight gain in pregnancy, third Diagnosis O26.03 trimester ICD10CM Pregnancy [O26.10] Low weight gain in pregnancy, unspecified Diagnosis O26.10 trimester ICD10CM Pregnancy [O26.11] Low weight gain in pregnancy, first Diagnosis O26.11 trimester ICD10CM Pregnancy [O26.12] Low weight gain in pregnancy, second Diagnosis O26.12 trimester ICD10CM Pregnancy [O26.13] Low weight gain in pregnancy, third Diagnosis O26.13 trimester ICD10CM
Pregnancy [O26.20] Pregnancy care for patient with recurrent Diagnosis O26.20 pregnancy loss, unspecified trimester ICD10CM Pregnancy [O26.21] Pregnancy care for patient with recurrent Diagnosis O26.21 pregnancy loss, first trimester ICD10CM Pregnancy [O26.22] Pregnancy care for patient with recurrent Diagnosis O26.22 pregnancy loss, second trimester ICD10CM Pregnancy [O26.23] Pregnancy care for patient with recurrent Diagnosis O26.23 pregnancy loss, third trimester ICD10CM Pregnancy [O26.30] Retained intrauterine contraceptive device Diagnosis O26.30 in pregnancy, unspecified trimester ICD10CM Pregnancy [O26.31] Retained intrauterine contraceptive device Diagnosis O26.31 in pregnancy, first trimester ICD10CM Pregnancy [O26.32] Retained intrauterine contraceptive device Diagnosis O26.32 in pregnancy, second trimester ICD10CM Pregnancy [O26.33] Retained intrauterine contraceptive device Diagnosis O26.33 in pregnancy, third trimester ICD10CM Pregnancy Diagnosis O26.40 [O26.40] Herpes gestationis, unspecified trimester ICD10CM Pregnancy Diagnosis O26.41 [O26.41] Herpes gestationis, first trimester ICD10CM Pregnancy Diagnosis O26.42 [O26.42] Herpes gestationis, second trimester ICD10CM Pregnancy Diagnosis O26.43 [O26.43] Herpes gestationis, third trimester ICD10CM Pregnancy [O26.50] Maternal hypotension syndrome, Diagnosis O26.50 unspecified trimester ICD10CM Pregnancy [O26.51] Maternal hypotension syndrome, first Diagnosis O26.51 trimester ICD10CM Pregnancy [O26.52] Maternal hypotension syndrome, second Diagnosis O26.52 trimester ICD10CM Pregnancy [O26.53] Maternal hypotension syndrome, third Diagnosis O26.53 trimester ICD10CM Pregnancy [O26.611] Liver and biliary tract disorders in Diagnosis O26.611 pregnancy, first trimester ICD10CM Pregnancy [O26.612] Liver and biliary tract disorders in Diagnosis O26.612 pregnancy, second trimester ICD10CM
Page 17 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O26.613] Liver and biliary tract disorders in Diagnosis O26.613 pregnancy, third trimester ICD10CM Pregnancy [O26.619] Liver and biliary tract disorders in Diagnosis O26.619 pregnancy, unspecified trimester ICD10CM Pregnancy [O26.711] Subluxation of symphysis (pubis) in Diagnosis O26.711 pregnancy, first trimester ICD10CM Pregnancy [O26.712] Subluxation of symphysis (pubis) in Diagnosis O26.712 pregnancy, second trimester ICD10CM Pregnancy [O26.713] Subluxation of symphysis (pubis) in Diagnosis O26.713 pregnancy, third trimester ICD10CM Pregnancy [O26.719] Subluxation of symphysis (pubis) in Diagnosis O26.719 pregnancy, unspecified trimester ICD10CM Pregnancy [O26.811] Pregnancy related exhaustion and Diagnosis O26.811 fatigue, first trimester ICD10CM Pregnancy [O26.812] Pregnancy related exhaustion and Diagnosis O26.812 fatigue, second trimester ICD10CM Pregnancy [O26.813] Pregnancy related exhaustion and Diagnosis O26.813 fatigue, third trimester ICD10CM Pregnancy [O26.819] Pregnancy related exhaustion and Diagnosis O26.819 fatigue, unspecified trimester ICD10CM Pregnancy [O26.821] Pregnancy related peripheral neuritis, Diagnosis O26.821 first trimester ICD10CM Pregnancy [O26.822] Pregnancy related peripheral neuritis, Diagnosis O26.822 second trimester ICD10CM Pregnancy [O26.823] Pregnancy related peripheral neuritis, Diagnosis O26.823 third trimester ICD10CM Pregnancy [O26.829] Pregnancy related peripheral neuritis, Diagnosis O26.829 unspecified trimester ICD10CM Pregnancy [O26.831] Pregnancy related renal disease, first Diagnosis O26.831 trimester ICD10CM Pregnancy [O26.832] Pregnancy related renal disease, second Diagnosis O26.832 trimester ICD10CM Pregnancy [O26.833] Pregnancy related renal disease, third Diagnosis O26.833 trimester ICD10CM Pregnancy [O26.839] Pregnancy related renal disease, Diagnosis O26.839 unspecified trimester ICD10CM Pregnancy [O26.841] Uterine size-date discrepancy, first Diagnosis O26.841 trimester ICD10CM Pregnancy [O26.842] Uterine size-date discrepancy, second Diagnosis O26.842 trimester ICD10CM Pregnancy [O26.843] Uterine size-date discrepancy, third Diagnosis O26.843 trimester ICD10CM Pregnancy [O26.849] Uterine size-date discrepancy, Diagnosis O26.849 unspecified trimester ICD10CM Pregnancy [O26.851] Spotting complicating pregnancy, first Diagnosis O26.851 trimester ICD10CM Pregnancy [O26.852] Spotting complicating pregnancy, second Diagnosis O26.852 trimester ICD10CM
Page 18 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O26.853] Spotting complicating pregnancy, third Diagnosis O26.853 trimester ICD10CM Pregnancy [O26.859] Spotting complicating pregnancy, Diagnosis O26.859 unspecified trimester ICD10CM Pregnancy [O26.86] Pruritic urticarial papules and plaques of Diagnosis O26.86 pregnancy (PUPPP) ICD10CM Pregnancy Diagnosis O26.872 [O26.872] Cervical shortening, second trimester ICD10CM Pregnancy Diagnosis O26.873 [O26.873] Cervical shortening, third trimester ICD10CM Pregnancy Diagnosis O26.879 [O26.879] Cervical shortening, unspecified trimester ICD10CM Pregnancy [O26.891] Other specified pregnancy related Diagnosis O26.891 conditions, first trimester ICD10CM Pregnancy [O26.892] Other specified pregnancy related Diagnosis O26.892 conditions, second trimester ICD10CM Pregnancy [O26.893] Other specified pregnancy related Diagnosis O26.893 conditions, third trimester ICD10CM Pregnancy [O26.899] Other specified pregnancy related Diagnosis O26.899 conditions, unspecified trimester ICD10CM Pregnancy [O26.90] Pregnancy related conditions, unspecified, Diagnosis O26.90 unspecified trimester ICD10CM Pregnancy [O26.91] Pregnancy related conditions, unspecified, Diagnosis O26.91 first trimester ICD10CM Pregnancy [O26.92] Pregnancy related conditions, unspecified, Diagnosis O26.92 second trimester ICD10CM Pregnancy [O26.93] Pregnancy related conditions, unspecified, Diagnosis O26.93 third trimester ICD10CM Pregnancy [O28.0] Abnormal hematological finding on Diagnosis O28.0 antenatal screening of mother ICD10CM Pregnancy [O28.1] Abnormal biochemical finding on antenatal Diagnosis O28.1 screening of mother ICD10CM Pregnancy [O28.2] Abnormal cytological finding on antenatal Diagnosis O28.2 screening of mother ICD10CM Pregnancy [O28.3] Abnormal ultrasonic finding on antenatal Diagnosis O28.3 screening of mother ICD10CM Pregnancy [O28.4] Abnormal radiological finding on antenatal Diagnosis O28.4 screening of mother ICD10CM Pregnancy [O28.5] Abnormal chromosomal and genetic finding Diagnosis O28.5 on antenatal screening of mother ICD10CM Pregnancy [O28.8] Other abnormal findings on antenatal Diagnosis O28.8 screening of mother ICD10CM Pregnancy [O28.9] Unspecified abnormal findings on antenatal Diagnosis O28.9 screening of mother ICD10CM Pregnancy [O29.011] Aspiration pneumonitis due to Diagnosis O29.011 anesthesia during pregnancy, first trimester ICD10CM
Page 19 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O29.012] Aspiration pneumonitis due to Diagnosis O29.012 anesthesia during pregnancy, second trimester ICD10CM Pregnancy [O29.013] Aspiration pneumonitis due to Diagnosis O29.013 anesthesia during pregnancy, third trimester ICD10CM
Pregnancy [O29.019] Aspiration pneumonitis due to Diagnosis O29.019 anesthesia during pregnancy, unspecified trimester ICD10CM Pregnancy [O29.021] Pressure collapse of lung due to Diagnosis O29.021 anesthesia during pregnancy, first trimester ICD10CM
Pregnancy [O29.022] Pressure collapse of lung due to Diagnosis O29.022 anesthesia during pregnancy, second trimester ICD10CM Pregnancy [O29.023] Pressure collapse of lung due to Diagnosis O29.023 anesthesia during pregnancy, third trimester ICD10CM
Pregnancy [O29.029] Pressure collapse of lung due to Diagnosis O29.029 anesthesia during pregnancy, unspecified trimester ICD10CM Pregnancy [O29.091] Other pulmonary complications of Diagnosis O29.091 anesthesia during pregnancy, first trimester ICD10CM
Pregnancy [O29.092] Other pulmonary complications of Diagnosis O29.092 anesthesia during pregnancy, second trimester ICD10CM Pregnancy [O29.093] Other pulmonary complications of Diagnosis O29.093 anesthesia during pregnancy, third trimester ICD10CM
Pregnancy [O29.099] Other pulmonary complications of Diagnosis O29.099 anesthesia during pregnancy, unspecified trimester ICD10CM Pregnancy [O29.111] Cardiac arrest due to anesthesia during Diagnosis O29.111 pregnancy, first trimester ICD10CM Pregnancy [O29.112] Cardiac arrest due to anesthesia during Diagnosis O29.112 pregnancy, second trimester ICD10CM Pregnancy [O29.113] Cardiac arrest due to anesthesia during Diagnosis O29.113 pregnancy, third trimester ICD10CM Pregnancy [O29.119] Cardiac arrest due to anesthesia during Diagnosis O29.119 pregnancy, unspecified trimester ICD10CM Pregnancy [O29.121] Cardiac failure due to anesthesia during Diagnosis O29.121 pregnancy, first trimester ICD10CM Pregnancy [O29.122] Cardiac failure due to anesthesia during Diagnosis O29.122 pregnancy, second trimester ICD10CM Pregnancy [O29.123] Cardiac failure due to anesthesia during Diagnosis O29.123 pregnancy, third trimester ICD10CM Pregnancy [O29.129] Cardiac failure due to anesthesia during Diagnosis O29.129 pregnancy, unspecified trimester ICD10CM Pregnancy [O29.191] Other cardiac complications of Diagnosis O29.191 anesthesia during pregnancy, first trimester ICD10CM
Page 20 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O29.192] Other cardiac complications of Diagnosis O29.192 anesthesia during pregnancy, second trimester ICD10CM Pregnancy [O29.193] Other cardiac complications of Diagnosis O29.193 anesthesia during pregnancy, third trimester ICD10CM
Pregnancy [O29.199] Other cardiac complications of Diagnosis O29.199 anesthesia during pregnancy, unspecified trimester ICD10CM Pregnancy [O29.211] Cerebral anoxia due to anesthesia during Diagnosis O29.211 pregnancy, first trimester ICD10CM Pregnancy [O29.212] Cerebral anoxia due to anesthesia during Diagnosis O29.212 pregnancy, second trimester ICD10CM Pregnancy [O29.213] Cerebral anoxia due to anesthesia during Diagnosis O29.213 pregnancy, third trimester ICD10CM Pregnancy [O29.219] Cerebral anoxia due to anesthesia during Diagnosis O29.219 pregnancy, unspecified trimester ICD10CM [O29.291] Other central nervous system Pregnancy complications of anesthesia during pregnancy, first Diagnosis O29.291 trimester ICD10CM [O29.292] Other central nervous system Pregnancy complications of anesthesia during pregnancy, Diagnosis O29.292 second trimester ICD10CM [O29.293] Other central nervous system Pregnancy complications of anesthesia during pregnancy, third Diagnosis O29.293 trimester ICD10CM [O29.299] Other central nervous system Pregnancy complications of anesthesia during pregnancy, Diagnosis O29.299 unspecified trimester ICD10CM Pregnancy [O29.3X1] Toxic reaction to local anesthesia during Diagnosis O29.3X1 pregnancy, first trimester ICD10CM Pregnancy [O29.3X2] Toxic reaction to local anesthesia during Diagnosis O29.3X2 pregnancy, second trimester ICD10CM Pregnancy [O29.3X3] Toxic reaction to local anesthesia during Diagnosis O29.3X3 pregnancy, third trimester ICD10CM Pregnancy [O29.3X9] Toxic reaction to local anesthesia during Diagnosis O29.3X9 pregnancy, unspecified trimester ICD10CM
Pregnancy [O29.40] Spinal and epidural anesthesia induced Diagnosis O29.40 headache during pregnancy, unspecified trimester ICD10CM
Pregnancy [O29.41] Spinal and epidural anesthesia induced Diagnosis O29.41 headache during pregnancy, first trimester ICD10CM
Pregnancy [O29.42] Spinal and epidural anesthesia induced Diagnosis O29.42 headache during pregnancy, second trimester ICD10CM
Pregnancy [O29.43] Spinal and epidural anesthesia induced Diagnosis O29.43 headache during pregnancy, third trimester ICD10CM
Page 21 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O29.5X1] Other complications of spinal and Pregnancy epidural anesthesia during pregnancy, first Diagnosis O29.5X1 trimester ICD10CM [O29.5X2] Other complications of spinal and Pregnancy epidural anesthesia during pregnancy, second Diagnosis O29.5X2 trimester ICD10CM [O29.5X3] Other complications of spinal and Pregnancy epidural anesthesia during pregnancy, third Diagnosis O29.5X3 trimester ICD10CM [O29.5X9] Other complications of spinal and Pregnancy epidural anesthesia during pregnancy, unspecified Diagnosis O29.5X9 trimester ICD10CM
Pregnancy [O29.60] Failed or difficult intubation for anesthesia Diagnosis O29.60 during pregnancy, unspecified trimester ICD10CM Pregnancy [O29.61] Failed or difficult intubation for anesthesia Diagnosis O29.61 during pregnancy, first trimester ICD10CM
Pregnancy [O29.62] Failed or difficult intubation for anesthesia Diagnosis O29.62 during pregnancy, second trimester ICD10CM Pregnancy [O29.63] Failed or difficult intubation for anesthesia Diagnosis O29.63 during pregnancy, third trimester ICD10CM Pregnancy [O29.8X1] Other complications of anesthesia during Diagnosis O29.8X1 pregnancy, first trimester ICD10CM Pregnancy [O29.8X2] Other complications of anesthesia during Diagnosis O29.8X2 pregnancy, second trimester ICD10CM Pregnancy [O29.8X3] Other complications of anesthesia during Diagnosis O29.8X3 pregnancy, third trimester ICD10CM Pregnancy [O29.8X9] Other complications of anesthesia during Diagnosis O29.8X9 pregnancy, unspecified trimester ICD10CM
Pregnancy [O29.90] Unspecified complication of anesthesia Diagnosis O29.90 during pregnancy, unspecified trimester ICD10CM Pregnancy [O29.91] Unspecified complication of anesthesia Diagnosis O29.91 during pregnancy, first trimester ICD10CM
Pregnancy [O29.92] Unspecified complication of anesthesia Diagnosis O29.92 during pregnancy, second trimester ICD10CM Pregnancy [O29.93] Unspecified complication of anesthesia Diagnosis O29.93 during pregnancy, third trimester ICD10CM [O30.001] Twin pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.001 first trimester ICD10CM [O30.002] Twin pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.002 second trimester ICD10CM
Page 22 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O30.003] Twin pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.003 third trimester ICD10CM [O30.009] Twin pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.009 unspecified trimester ICD10CM Pregnancy [O30.011] Twin pregnancy, Diagnosis O30.011 monochorionic/monoamniotic, first trimester ICD10CM
Pregnancy [O30.012] Twin pregnancy, Diagnosis O30.012 monochorionic/monoamniotic, second trimester ICD10CM
Pregnancy [O30.013] Twin pregnancy, Diagnosis O30.013 monochorionic/monoamniotic, third trimester ICD10CM [O30.019] Twin pregnancy, Pregnancy monochorionic/monoamniotic, unspecified Diagnosis O30.019 trimester ICD10CM Pregnancy Diagnosis O30.021 [O30.021] Conjoined twin pregnancy, first trimester ICD10CM Pregnancy [O30.022] Conjoined twin pregnancy, second Diagnosis O30.022 trimester ICD10CM Pregnancy [O30.023] Conjoined twin pregnancy, third Diagnosis O30.023 trimester ICD10CM Pregnancy [O30.029] Conjoined twin pregnancy, unspecified Diagnosis O30.029 trimester ICD10CM Pregnancy [O30.031] Twin pregnancy, Diagnosis O30.031 monochorionic/diamniotic, first trimester ICD10CM Pregnancy [O30.032] Twin pregnancy, Diagnosis O30.032 monochorionic/diamniotic, second trimester ICD10CM Pregnancy [O30.033] Twin pregnancy, Diagnosis O30.033 monochorionic/diamniotic, third trimester ICD10CM
Pregnancy [O30.039] Twin pregnancy, Diagnosis O30.039 monochorionic/diamniotic, unspecified trimester ICD10CM Pregnancy [O30.041] Twin pregnancy, dichorionic/diamniotic, Diagnosis O30.041 first trimester ICD10CM Pregnancy [O30.042] Twin pregnancy, dichorionic/diamniotic, Diagnosis O30.042 second trimester ICD10CM Pregnancy [O30.043] Twin pregnancy, dichorionic/diamniotic, Diagnosis O30.043 third trimester ICD10CM Pregnancy [O30.049] Twin pregnancy, dichorionic/diamniotic, Diagnosis O30.049 unspecified trimester ICD10CM [O30.091] Twin pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.091 first trimester ICD10CM [O30.092] Twin pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.092 second trimester ICD10CM
Page 23 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O30.093] Twin pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.093 third trimester ICD10CM [O30.099] Twin pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.099 unspecified trimester ICD10CM [O30.101] Triplet pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.101 first trimester ICD10CM [O30.102] Triplet pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.102 second trimester ICD10CM [O30.103] Triplet pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.103 third trimester ICD10CM [O30.109] Triplet pregnancy, unspecified number of Pregnancy placenta and unspecified number of amniotic sacs, Diagnosis O30.109 unspecified trimester ICD10CM Pregnancy [O30.111] Triplet pregnancy with two or more Diagnosis O30.111 monochorionic fetuses, first trimester ICD10CM Pregnancy [O30.112] Triplet pregnancy with two or more Diagnosis O30.112 monochorionic fetuses, second trimester ICD10CM Pregnancy [O30.113] Triplet pregnancy with two or more Diagnosis O30.113 monochorionic fetuses, third trimester ICD10CM Pregnancy [O30.119] Triplet pregnancy with two or more Diagnosis O30.119 monochorionic fetuses, unspecified trimester ICD10CM Pregnancy [O30.121] Triplet pregnancy with two or more Diagnosis O30.121 monoamniotic fetuses, first trimester ICD10CM Pregnancy [O30.122] Triplet pregnancy with two or more Diagnosis O30.122 monoamniotic fetuses, second trimester ICD10CM Pregnancy [O30.123] Triplet pregnancy with two or more Diagnosis O30.123 monoamniotic fetuses, third trimester ICD10CM Pregnancy [O30.129] Triplet pregnancy with two or more Diagnosis O30.129 monoamniotic fetuses, unspecified trimester ICD10CM Pregnancy [O30.131] Triplet pregnancy, Diagnosis O30.131 trichorionic/triamniotic, first trimester ICD10CM Pregnancy [O30.132] Triplet pregnancy, Diagnosis O30.132 trichorionic/triamniotic, second trimester ICD10CM Pregnancy [O30.133] Triplet pregnancy, Diagnosis O30.133 trichorionic/triamniotic, third trimester ICD10CM
Pregnancy [O30.139] Triplet pregnancy, Diagnosis O30.139 trichorionic/triamniotic, unspecified trimester ICD10CM [O30.191] Triplet pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.191 first trimester ICD10CM
Page 24 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O30.192] Triplet pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.192 second trimester ICD10CM [O30.193] Triplet pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.193 third trimester ICD10CM [O30.199] Triplet pregnancy, unable to determine Pregnancy number of placenta and number of amniotic sacs, Diagnosis O30.199 unspecified trimester ICD10CM [O30.201] Quadruplet pregnancy, unspecified Pregnancy number of placenta and unspecified number of Diagnosis O30.201 amniotic sacs, first trimester ICD10CM [O30.202] Quadruplet pregnancy, unspecified Pregnancy number of placenta and unspecified number of Diagnosis O30.202 amniotic sacs, second trimester ICD10CM [O30.203] Quadruplet pregnancy, unspecified Pregnancy number of placenta and unspecified number of Diagnosis O30.203 amniotic sacs, third trimester ICD10CM [O30.209] Quadruplet pregnancy, unspecified Pregnancy number of placenta and unspecified number of Diagnosis O30.209 amniotic sacs, unspecified trimester ICD10CM Pregnancy [O30.211] Quadruplet pregnancy with two or more Diagnosis O30.211 monochorionic fetuses, first trimester ICD10CM
Pregnancy [O30.212] Quadruplet pregnancy with two or more Diagnosis O30.212 monochorionic fetuses, second trimester ICD10CM Pregnancy [O30.213] Quadruplet pregnancy with two or more Diagnosis O30.213 monochorionic fetuses, third trimester ICD10CM
Pregnancy [O30.219] Quadruplet pregnancy with two or more Diagnosis O30.219 monochorionic fetuses, unspecified trimester ICD10CM Pregnancy [O30.221] Quadruplet pregnancy with two or more Diagnosis O30.221 monoamniotic fetuses, first trimester ICD10CM
Pregnancy [O30.222] Quadruplet pregnancy with two or more Diagnosis O30.222 monoamniotic fetuses, second trimester ICD10CM Pregnancy [O30.223] Quadruplet pregnancy with two or more Diagnosis O30.223 monoamniotic fetuses, third trimester ICD10CM
Pregnancy [O30.229] Quadruplet pregnancy with two or more Diagnosis O30.229 monoamniotic fetuses, unspecified trimester ICD10CM
Pregnancy [O30.231] Quadruplet pregnancy, Diagnosis O30.231 quadrachorionic/quadra-amniotic, first trimester ICD10CM
Pregnancy [O30.232] Quadruplet pregnancy, Diagnosis O30.232 quadrachorionic/quadra-amniotic, second trimester ICD10CM
Page 25 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O30.233] Quadruplet pregnancy, Diagnosis O30.233 quadrachorionic/quadra-amniotic, third trimester ICD10CM [O30.239] Quadruplet pregnancy, Pregnancy quadrachorionic/quadra-amniotic, unspecified Diagnosis O30.239 trimester ICD10CM [O30.291] Quadruplet pregnancy, unable to Pregnancy determine number of placenta and number of Diagnosis O30.291 amniotic sacs, first trimester ICD10CM [O30.292] Quadruplet pregnancy, unable to Pregnancy determine number of placenta and number of Diagnosis O30.292 amniotic sacs, second trimester ICD10CM [O30.293] Quadruplet pregnancy, unable to Pregnancy determine number of placenta and number of Diagnosis O30.293 amniotic sacs, third trimester ICD10CM [O30.299] Quadruplet pregnancy, unable to Pregnancy determine number of placenta and number of Diagnosis O30.299 amniotic sacs, unspecified trimester ICD10CM
[O30.801] Other specified multiple gestation, Pregnancy unspecified number of placenta and unspecified Diagnosis O30.801 number of amniotic sacs, first trimester ICD10CM
[O30.802] Other specified multiple gestation, Pregnancy unspecified number of placenta and unspecified Diagnosis O30.802 number of amniotic sacs, second trimester ICD10CM
[O30.803] Other specified multiple gestation, Pregnancy unspecified number of placenta and unspecified Diagnosis O30.803 number of amniotic sacs, third trimester ICD10CM
[O30.809] Other specified multiple gestation, Pregnancy unspecified number of placenta and unspecified Diagnosis O30.809 number of amniotic sacs, unspecified trimester ICD10CM
Pregnancy [O30.811] Other specified multiple gestation with Diagnosis O30.811 two or more monochorionic fetuses, first trimester ICD10CM [O30.812] Other specified multiple gestation with Pregnancy two or more monochorionic fetuses, second Diagnosis O30.812 trimester ICD10CM
Pregnancy [O30.813] Other specified multiple gestation with Diagnosis O30.813 two or more monochorionic fetuses, third trimester ICD10CM [O30.819] Other specified multiple gestation with Pregnancy two or more monochorionic fetuses, unspecified Diagnosis O30.819 trimester ICD10CM
Page 26 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O30.821] Other specified multiple gestation with Diagnosis O30.821 two or more monoamniotic fetuses, first trimester ICD10CM [O30.822] Other specified multiple gestation with Pregnancy two or more monoamniotic fetuses, second Diagnosis O30.822 trimester ICD10CM
Pregnancy [O30.823] Other specified multiple gestation with Diagnosis O30.823 two or more monoamniotic fetuses, third trimester ICD10CM [O30.829] Other specified multiple gestation with Pregnancy two or more monoamniotic fetuses, unspecified Diagnosis O30.829 trimester ICD10CM
[O30.831] Other specified multiple gestation, Pregnancy number of chorions and amnions are both equal to Diagnosis O30.831 the number of fetuses, first trimester ICD10CM
[O30.832] Other specified multiple gestation, Pregnancy number of chorions and amnions are both equal to Diagnosis O30.832 the number of fetuses, second trimester ICD10CM
[O30.833] Other specified multiple gestation, Pregnancy number of chorions and amnions are both equal to Diagnosis O30.833 the number of fetuses, third trimester ICD10CM
[O30.839] Other specified multiple gestation, Pregnancy number of chorions and amnions are both equal to Diagnosis O30.839 the number of fetuses, unspecified trimester ICD10CM [O30.891] Other specified multiple gestation, Pregnancy unable to determine number of placenta and Diagnosis O30.891 number of amniotic sacs, first trimester ICD10CM [O30.892] Other specified multiple gestation, Pregnancy unable to determine number of placenta and Diagnosis O30.892 number of amniotic sacs, second trimester ICD10CM [O30.893] Other specified multiple gestation, Pregnancy unable to determine number of placenta and Diagnosis O30.893 number of amniotic sacs, third trimester ICD10CM
[O30.899] Other specified multiple gestation, Pregnancy unable to determine number of placenta and Diagnosis O30.899 number of amniotic sacs, unspecified trimester ICD10CM Pregnancy [O30.90] Multiple gestation, unspecified, Diagnosis O30.90 unspecified trimester ICD10CM Pregnancy [O30.91] Multiple gestation, unspecified, first Diagnosis O30.91 trimester ICD10CM Pregnancy [O30.92] Multiple gestation, unspecified, second Diagnosis O30.92 trimester ICD10CM
Page 27 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O30.93] Multiple gestation, unspecified, third Diagnosis O30.93 trimester ICD10CM Pregnancy [O31.00X0] Papyraceous fetus, unspecified Diagnosis O31.00X0 trimester, not applicable or unspecified ICD10CM Pregnancy [O31.00X1] Papyraceous fetus, unspecified Diagnosis O31.00X1 trimester, fetus 1 ICD10CM Pregnancy [O31.00X2] Papyraceous fetus, unspecified Diagnosis O31.00X2 trimester, fetus 2 ICD10CM Pregnancy [O31.00X3] Papyraceous fetus, unspecified Diagnosis O31.00X3 trimester, fetus 3 ICD10CM Pregnancy [O31.00X4] Papyraceous fetus, unspecified Diagnosis O31.00X4 trimester, fetus 4 ICD10CM Pregnancy [O31.00X5] Papyraceous fetus, unspecified Diagnosis O31.00X5 trimester, fetus 5 ICD10CM Pregnancy [O31.00X9] Papyraceous fetus, unspecified Diagnosis O31.00X9 trimester, other fetus ICD10CM Pregnancy [O31.01X0] Papyraceous fetus, first trimester, not Diagnosis O31.01X0 applicable or unspecified ICD10CM Pregnancy [O31.01X1] Papyraceous fetus, first trimester, fetus Diagnosis O31.01X1 1 ICD10CM Pregnancy [O31.01X2] Papyraceous fetus, first trimester, fetus Diagnosis O31.01X2 2 ICD10CM Pregnancy [O31.01X3] Papyraceous fetus, first trimester, fetus Diagnosis O31.01X3 3 ICD10CM Pregnancy [O31.01X4] Papyraceous fetus, first trimester, fetus Diagnosis O31.01X4 4 ICD10CM Pregnancy [O31.01X5] Papyraceous fetus, first trimester, fetus Diagnosis O31.01X5 5 ICD10CM Pregnancy [O31.01X9] Papyraceous fetus, first trimester, other Diagnosis O31.01X9 fetus ICD10CM Pregnancy [O31.02X0] Papyraceous fetus, second trimester, Diagnosis O31.02X0 not applicable or unspecified ICD10CM Pregnancy [O31.02X1] Papyraceous fetus, second trimester, Diagnosis O31.02X1 fetus 1 ICD10CM Pregnancy [O31.02X2] Papyraceous fetus, second trimester, Diagnosis O31.02X2 fetus 2 ICD10CM Pregnancy [O31.02X3] Papyraceous fetus, second trimester, Diagnosis O31.02X3 fetus 3 ICD10CM Pregnancy [O31.02X4] Papyraceous fetus, second trimester, Diagnosis O31.02X4 fetus 4 ICD10CM Pregnancy [O31.02X5] Papyraceous fetus, second trimester, Diagnosis O31.02X5 fetus 5 ICD10CM Pregnancy [O31.02X9] Papyraceous fetus, second trimester, Diagnosis O31.02X9 other fetus ICD10CM Pregnancy [O31.03X0] Papyraceous fetus, third trimester, not Diagnosis O31.03X0 applicable or unspecified ICD10CM Pregnancy [O31.03X1] Papyraceous fetus, third trimester, fetus Diagnosis O31.03X1 1 ICD10CM
Page 28 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O31.03X2] Papyraceous fetus, third trimester, fetus Diagnosis O31.03X2 2 ICD10CM Pregnancy [O31.03X3] Papyraceous fetus, third trimester, fetus Diagnosis O31.03X3 3 ICD10CM Pregnancy [O31.03X4] Papyraceous fetus, third trimester, fetus Diagnosis O31.03X4 4 ICD10CM Pregnancy [O31.03X5] Papyraceous fetus, third trimester, fetus Diagnosis O31.03X5 5 ICD10CM Pregnancy [O31.03X9] Papyraceous fetus, third trimester, Diagnosis O31.03X9 other fetus ICD10CM
[O31.10X0] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, Diagnosis O31.10X0 unspecified trimester, not applicable or unspecified ICD10CM [O31.10X1] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, Diagnosis O31.10X1 unspecified trimester, fetus 1 ICD10CM [O31.10X2] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, Diagnosis O31.10X2 unspecified trimester, fetus 2 ICD10CM [O31.10X3] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, Diagnosis O31.10X3 unspecified trimester, fetus 3 ICD10CM [O31.10X4] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, Diagnosis O31.10X4 unspecified trimester, fetus 4 ICD10CM [O31.10X5] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, Diagnosis O31.10X5 unspecified trimester, fetus 5 ICD10CM [O31.10X9] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, Diagnosis O31.10X9 unspecified trimester, other fetus ICD10CM [O31.11X0] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, first Diagnosis O31.11X0 trimester, not applicable or unspecified ICD10CM [O31.11X1] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, first Diagnosis O31.11X1 trimester, fetus 1 ICD10CM [O31.11X2] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, first Diagnosis O31.11X2 trimester, fetus 2 ICD10CM [O31.11X3] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, first Diagnosis O31.11X3 trimester, fetus 3 ICD10CM [O31.11X4] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, first Diagnosis O31.11X4 trimester, fetus 4 ICD10CM
Page 29 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O31.11X5] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, first Diagnosis O31.11X5 trimester, fetus 5 ICD10CM [O31.11X9] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, first Diagnosis O31.11X9 trimester, other fetus ICD10CM
[O31.12X0] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, second Diagnosis O31.12X0 trimester, not applicable or unspecified ICD10CM [O31.12X1] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, second Diagnosis O31.12X1 trimester, fetus 1 ICD10CM [O31.12X2] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, second Diagnosis O31.12X2 trimester, fetus 2 ICD10CM [O31.12X3] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, second Diagnosis O31.12X3 trimester, fetus 3 ICD10CM [O31.12X4] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, second Diagnosis O31.12X4 trimester, fetus 4 ICD10CM [O31.12X5] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, second Diagnosis O31.12X5 trimester, fetus 5 ICD10CM [O31.12X9] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, second Diagnosis O31.12X9 trimester, other fetus ICD10CM [O31.13X0] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, third Diagnosis O31.13X0 trimester, not applicable or unspecified ICD10CM [O31.13X1] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, third Diagnosis O31.13X1 trimester, fetus 1 ICD10CM [O31.13X2] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, third Diagnosis O31.13X2 trimester, fetus 2 ICD10CM [O31.13X3] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, third Diagnosis O31.13X3 trimester, fetus 3 ICD10CM [O31.13X4] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, third Diagnosis O31.13X4 trimester, fetus 4 ICD10CM [O31.13X5] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, third Diagnosis O31.13X5 trimester, fetus 5 ICD10CM
Page 30 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O31.13X9] Continuing pregnancy after Pregnancy spontaneous abortion of one fetus or more, third Diagnosis O31.13X9 trimester, other fetus ICD10CM
[O31.20X0] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, unspecified trimester, Diagnosis O31.20X0 not applicable or unspecified ICD10CM [O31.20X1] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, unspecified trimester, Diagnosis O31.20X1 fetus 1 ICD10CM [O31.20X2] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, unspecified trimester, Diagnosis O31.20X2 fetus 2 ICD10CM [O31.20X3] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, unspecified trimester, Diagnosis O31.20X3 fetus 3 ICD10CM [O31.20X4] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, unspecified trimester, Diagnosis O31.20X4 fetus 4 ICD10CM [O31.20X5] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, unspecified trimester, Diagnosis O31.20X5 fetus 5 ICD10CM [O31.20X9] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, unspecified trimester, Diagnosis O31.20X9 other fetus ICD10CM [O31.21X0] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, first trimester, not Diagnosis O31.21X0 applicable or unspecified ICD10CM
Pregnancy [O31.21X1] Continuing pregnancy after intrauterine Diagnosis O31.21X1 death of one fetus or more, first trimester, fetus 1 ICD10CM
Pregnancy [O31.21X2] Continuing pregnancy after intrauterine Diagnosis O31.21X2 death of one fetus or more, first trimester, fetus 2 ICD10CM
Pregnancy [O31.21X3] Continuing pregnancy after intrauterine Diagnosis O31.21X3 death of one fetus or more, first trimester, fetus 3 ICD10CM
Pregnancy [O31.21X4] Continuing pregnancy after intrauterine Diagnosis O31.21X4 death of one fetus or more, first trimester, fetus 4 ICD10CM
Pregnancy [O31.21X5] Continuing pregnancy after intrauterine Diagnosis O31.21X5 death of one fetus or more, first trimester, fetus 5 ICD10CM [O31.21X9] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, first trimester, other Diagnosis O31.21X9 fetus ICD10CM
Page 31 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
[O31.22X0] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, second trimester, not Diagnosis O31.22X0 applicable or unspecified ICD10CM [O31.22X1] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, second trimester, fetus Diagnosis O31.22X1 1 ICD10CM [O31.22X2] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, second trimester, fetus Diagnosis O31.22X2 2 ICD10CM [O31.22X3] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, second trimester, fetus Diagnosis O31.22X3 3 ICD10CM [O31.22X4] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, second trimester, fetus Diagnosis O31.22X4 4 ICD10CM [O31.22X5] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, second trimester, fetus Diagnosis O31.22X5 5 ICD10CM [O31.22X9] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, second trimester, other Diagnosis O31.22X9 fetus ICD10CM [O31.23X0] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, third trimester, not Diagnosis O31.23X0 applicable or unspecified ICD10CM
Pregnancy [O31.23X1] Continuing pregnancy after intrauterine Diagnosis O31.23X1 death of one fetus or more, third trimester, fetus 1 ICD10CM
Pregnancy [O31.23X2] Continuing pregnancy after intrauterine Diagnosis O31.23X2 death of one fetus or more, third trimester, fetus 2 ICD10CM
Pregnancy [O31.23X3] Continuing pregnancy after intrauterine Diagnosis O31.23X3 death of one fetus or more, third trimester, fetus 3 ICD10CM
Pregnancy [O31.23X4] Continuing pregnancy after intrauterine Diagnosis O31.23X4 death of one fetus or more, third trimester, fetus 4 ICD10CM
Pregnancy [O31.23X5] Continuing pregnancy after intrauterine Diagnosis O31.23X5 death of one fetus or more, third trimester, fetus 5 ICD10CM [O31.23X9] Continuing pregnancy after intrauterine Pregnancy death of one fetus or more, third trimester, other Diagnosis O31.23X9 fetus ICD10CM
[O31.30X0] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, unspecified Diagnosis O31.30X0 trimester, not applicable or unspecified ICD10CM
Page 32 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O31.30X1] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, unspecified Diagnosis O31.30X1 trimester, fetus 1 ICD10CM [O31.30X2] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, unspecified Diagnosis O31.30X2 trimester, fetus 2 ICD10CM [O31.30X3] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, unspecified Diagnosis O31.30X3 trimester, fetus 3 ICD10CM [O31.30X4] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, unspecified Diagnosis O31.30X4 trimester, fetus 4 ICD10CM [O31.30X5] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, unspecified Diagnosis O31.30X5 trimester, fetus 5 ICD10CM [O31.30X9] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, unspecified Diagnosis O31.30X9 trimester, other fetus ICD10CM [O31.31X0] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, first trimester, Diagnosis O31.31X0 not applicable or unspecified ICD10CM [O31.31X1] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, first trimester, Diagnosis O31.31X1 fetus 1 ICD10CM [O31.31X2] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, first trimester, Diagnosis O31.31X2 fetus 2 ICD10CM [O31.31X3] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, first trimester, Diagnosis O31.31X3 fetus 3 ICD10CM [O31.31X4] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, first trimester, Diagnosis O31.31X4 fetus 4 ICD10CM [O31.31X5] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, first trimester, Diagnosis O31.31X5 fetus 5 ICD10CM [O31.31X9] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, first trimester, Diagnosis O31.31X9 other fetus ICD10CM
[O31.32X0] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, second Diagnosis O31.32X0 trimester, not applicable or unspecified ICD10CM [O31.32X1] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, second Diagnosis O31.32X1 trimester, fetus 1 ICD10CM
Page 33 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O31.32X2] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, second Diagnosis O31.32X2 trimester, fetus 2 ICD10CM [O31.32X3] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, second Diagnosis O31.32X3 trimester, fetus 3 ICD10CM [O31.32X4] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, second Diagnosis O31.32X4 trimester, fetus 4 ICD10CM [O31.32X5] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, second Diagnosis O31.32X5 trimester, fetus 5 ICD10CM [O31.32X9] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, second Diagnosis O31.32X9 trimester, other fetus ICD10CM [O31.33X0] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, third Diagnosis O31.33X0 trimester, not applicable or unspecified ICD10CM [O31.33X1] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, third Diagnosis O31.33X1 trimester, fetus 1 ICD10CM [O31.33X2] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, third Diagnosis O31.33X2 trimester, fetus 2 ICD10CM [O31.33X3] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, third Diagnosis O31.33X3 trimester, fetus 3 ICD10CM [O31.33X4] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, third Diagnosis O31.33X4 trimester, fetus 4 ICD10CM [O31.33X5] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, third Diagnosis O31.33X5 trimester, fetus 5 ICD10CM [O31.33X9] Continuing pregnancy after elective Pregnancy fetal reduction of one fetus or more, third Diagnosis O31.33X9 trimester, other fetus ICD10CM [O31.8X10] Other complications specific to multiple Pregnancy gestation, first trimester, not applicable or Diagnosis O31.8X10 unspecified ICD10CM Pregnancy [O31.8X11] Other complications specific to multiple Diagnosis O31.8X11 gestation, first trimester, fetus 1 ICD10CM Pregnancy [O31.8X12] Other complications specific to multiple Diagnosis O31.8X12 gestation, first trimester, fetus 2 ICD10CM Pregnancy [O31.8X13] Other complications specific to multiple Diagnosis O31.8X13 gestation, first trimester, fetus 3 ICD10CM Pregnancy [O31.8X14] Other complications specific to multiple Diagnosis O31.8X14 gestation, first trimester, fetus 4 ICD10CM
Page 34 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O31.8X15] Other complications specific to multiple Diagnosis O31.8X15 gestation, first trimester, fetus 5 ICD10CM Pregnancy [O31.8X19] Other complications specific to multiple Diagnosis O31.8X19 gestation, first trimester, other fetus ICD10CM [O31.8X20] Other complications specific to multiple Pregnancy gestation, second trimester, not applicable or Diagnosis O31.8X20 unspecified ICD10CM Pregnancy [O31.8X21] Other complications specific to multiple Diagnosis O31.8X21 gestation, second trimester, fetus 1 ICD10CM Pregnancy [O31.8X22] Other complications specific to multiple Diagnosis O31.8X22 gestation, second trimester, fetus 2 ICD10CM Pregnancy [O31.8X23] Other complications specific to multiple Diagnosis O31.8X23 gestation, second trimester, fetus 3 ICD10CM Pregnancy [O31.8X24] Other complications specific to multiple Diagnosis O31.8X24 gestation, second trimester, fetus 4 ICD10CM Pregnancy [O31.8X25] Other complications specific to multiple Diagnosis O31.8X25 gestation, second trimester, fetus 5 ICD10CM
Pregnancy [O31.8X29] Other complications specific to multiple Diagnosis O31.8X29 gestation, second trimester, other fetus ICD10CM [O31.8X30] Other complications specific to multiple Pregnancy gestation, third trimester, not applicable or Diagnosis O31.8X30 unspecified ICD10CM Pregnancy [O31.8X31] Other complications specific to multiple Diagnosis O31.8X31 gestation, third trimester, fetus 1 ICD10CM Pregnancy [O31.8X32] Other complications specific to multiple Diagnosis O31.8X32 gestation, third trimester, fetus 2 ICD10CM Pregnancy [O31.8X33] Other complications specific to multiple Diagnosis O31.8X33 gestation, third trimester, fetus 3 ICD10CM Pregnancy [O31.8X34] Other complications specific to multiple Diagnosis O31.8X34 gestation, third trimester, fetus 4 ICD10CM Pregnancy [O31.8X35] Other complications specific to multiple Diagnosis O31.8X35 gestation, third trimester, fetus 5 ICD10CM
Pregnancy [O31.8X39] Other complications specific to multiple Diagnosis O31.8X39 gestation, third trimester, other fetus ICD10CM [O31.8X90] Other complications specific to multiple Pregnancy gestation, unspecified trimester, not applicable or Diagnosis O31.8X90 unspecified ICD10CM
Pregnancy [O31.8X91] Other complications specific to multiple Diagnosis O31.8X91 gestation, unspecified trimester, fetus 1 ICD10CM
Pregnancy [O31.8X92] Other complications specific to multiple Diagnosis O31.8X92 gestation, unspecified trimester, fetus 2 ICD10CM
Pregnancy [O31.8X93] Other complications specific to multiple Diagnosis O31.8X93 gestation, unspecified trimester, fetus 3 ICD10CM
Page 35 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O31.8X94] Other complications specific to multiple Diagnosis O31.8X94 gestation, unspecified trimester, fetus 4 ICD10CM
Pregnancy [O31.8X95] Other complications specific to multiple Diagnosis O31.8X95 gestation, unspecified trimester, fetus 5 ICD10CM
Pregnancy [O31.8X99] Other complications specific to multiple Diagnosis O31.8X99 gestation, unspecified trimester, other fetus ICD10CM Pregnancy [O32.0XX0] Maternal care for unstable lie, not Diagnosis O32.0XX0 applicable or unspecified ICD10CM Pregnancy Diagnosis O32.0XX1 [O32.0XX1] Maternal care for unstable lie, fetus 1 ICD10CM Pregnancy Diagnosis O32.0XX2 [O32.0XX2] Maternal care for unstable lie, fetus 2 ICD10CM Pregnancy Diagnosis O32.0XX3 [O32.0XX3] Maternal care for unstable lie, fetus 3 ICD10CM Pregnancy Diagnosis O32.0XX4 [O32.0XX4] Maternal care for unstable lie, fetus 4 ICD10CM Pregnancy Diagnosis O32.0XX5 [O32.0XX5] Maternal care for unstable lie, fetus 5 ICD10CM Pregnancy [O32.0XX9] Maternal care for unstable lie, other Diagnosis O32.0XX9 fetus ICD10CM Pregnancy [O32.1XX0] Maternal care for breech presentation, Diagnosis O32.1XX0 not applicable or unspecified ICD10CM Pregnancy [O32.1XX1] Maternal care for breech presentation, Diagnosis O32.1XX1 fetus 1 ICD10CM Pregnancy [O32.1XX2] Maternal care for breech presentation, Diagnosis O32.1XX2 fetus 2 ICD10CM Pregnancy [O32.1XX3] Maternal care for breech presentation, Diagnosis O32.1XX3 fetus 3 ICD10CM Pregnancy [O32.1XX4] Maternal care for breech presentation, Diagnosis O32.1XX4 fetus 4 ICD10CM Pregnancy [O32.1XX5] Maternal care for breech presentation, Diagnosis O32.1XX5 fetus 5 ICD10CM Pregnancy [O32.1XX9] Maternal care for breech presentation, Diagnosis O32.1XX9 other fetus ICD10CM Pregnancy [O32.2XX0] Maternal care for transverse and Diagnosis O32.2XX0 oblique lie, not applicable or unspecified ICD10CM Pregnancy [O32.2XX1] Maternal care for transverse and Diagnosis O32.2XX1 oblique lie, fetus 1 ICD10CM Pregnancy [O32.2XX2] Maternal care for transverse and Diagnosis O32.2XX2 oblique lie, fetus 2 ICD10CM Pregnancy [O32.2XX3] Maternal care for transverse and Diagnosis O32.2XX3 oblique lie, fetus 3 ICD10CM Pregnancy [O32.2XX4] Maternal care for transverse and Diagnosis O32.2XX4 oblique lie, fetus 4 ICD10CM
Page 36 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O32.2XX5] Maternal care for transverse and Diagnosis O32.2XX5 oblique lie, fetus 5 ICD10CM Pregnancy [O32.2XX9] Maternal care for transverse and Diagnosis O32.2XX9 oblique lie, other fetus ICD10CM
Pregnancy [O32.3XX0] Maternal care for face, brow and chin Diagnosis O32.3XX0 presentation, not applicable or unspecified ICD10CM Pregnancy [O32.3XX1] Maternal care for face, brow and chin Diagnosis O32.3XX1 presentation, fetus 1 ICD10CM Pregnancy [O32.3XX2] Maternal care for face, brow and chin Diagnosis O32.3XX2 presentation, fetus 2 ICD10CM Pregnancy [O32.3XX3] Maternal care for face, brow and chin Diagnosis O32.3XX3 presentation, fetus 3 ICD10CM Pregnancy [O32.3XX4] Maternal care for face, brow and chin Diagnosis O32.3XX4 presentation, fetus 4 ICD10CM Pregnancy [O32.3XX5] Maternal care for face, brow and chin Diagnosis O32.3XX5 presentation, fetus 5 ICD10CM Pregnancy [O32.3XX9] Maternal care for face, brow and chin Diagnosis O32.3XX9 presentation, other fetus ICD10CM Pregnancy [O32.4XX0] Maternal care for high head at term, Diagnosis O32.4XX0 not applicable or unspecified ICD10CM Pregnancy [O32.4XX1] Maternal care for high head at term, Diagnosis O32.4XX1 fetus 1 ICD10CM Pregnancy [O32.4XX2] Maternal care for high head at term, Diagnosis O32.4XX2 fetus 2 ICD10CM Pregnancy [O32.4XX3] Maternal care for high head at term, Diagnosis O32.4XX3 fetus 3 ICD10CM Pregnancy [O32.4XX4] Maternal care for high head at term, Diagnosis O32.4XX4 fetus 4 ICD10CM Pregnancy [O32.4XX5] Maternal care for high head at term, Diagnosis O32.4XX5 fetus 5 ICD10CM Pregnancy [O32.4XX9] Maternal care for high head at term, Diagnosis O32.4XX9 other fetus ICD10CM Pregnancy [O32.6XX0] Maternal care for compound Diagnosis O32.6XX0 presentation, not applicable or unspecified ICD10CM Pregnancy [O32.6XX1] Maternal care for compound Diagnosis O32.6XX1 presentation, fetus 1 ICD10CM Pregnancy [O32.6XX2] Maternal care for compound Diagnosis O32.6XX2 presentation, fetus 2 ICD10CM Pregnancy [O32.6XX3] Maternal care for compound Diagnosis O32.6XX3 presentation, fetus 3 ICD10CM Pregnancy [O32.6XX4] Maternal care for compound Diagnosis O32.6XX4 presentation, fetus 4 ICD10CM Pregnancy [O32.6XX5] Maternal care for compound Diagnosis O32.6XX5 presentation, fetus 5 ICD10CM Pregnancy [O32.6XX9] Maternal care for compound Diagnosis O32.6XX9 presentation, other fetus ICD10CM
Page 37 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O32.8XX0] Maternal care for other Pregnancy malpresentation of fetus, not applicable or Diagnosis O32.8XX0 unspecified ICD10CM Pregnancy [O32.8XX1] Maternal care for other Diagnosis O32.8XX1 malpresentation of fetus, fetus 1 ICD10CM Pregnancy [O32.8XX2] Maternal care for other Diagnosis O32.8XX2 malpresentation of fetus, fetus 2 ICD10CM Pregnancy [O32.8XX3] Maternal care for other Diagnosis O32.8XX3 malpresentation of fetus, fetus 3 ICD10CM Pregnancy [O32.8XX4] Maternal care for other Diagnosis O32.8XX4 malpresentation of fetus, fetus 4 ICD10CM Pregnancy [O32.8XX5] Maternal care for other Diagnosis O32.8XX5 malpresentation of fetus, fetus 5 ICD10CM Pregnancy [O32.8XX9] Maternal care for other Diagnosis O32.8XX9 malpresentation of fetus, other fetus ICD10CM
Pregnancy [O32.9XX0] Maternal care for malpresentation of Diagnosis O32.9XX0 fetus, unspecified, not applicable or unspecified ICD10CM Pregnancy [O32.9XX1] Maternal care for malpresentation of Diagnosis O32.9XX1 fetus, unspecified, fetus 1 ICD10CM Pregnancy [O32.9XX2] Maternal care for malpresentation of Diagnosis O32.9XX2 fetus, unspecified, fetus 2 ICD10CM Pregnancy [O32.9XX3] Maternal care for malpresentation of Diagnosis O32.9XX3 fetus, unspecified, fetus 3 ICD10CM Pregnancy [O32.9XX4] Maternal care for malpresentation of Diagnosis O32.9XX4 fetus, unspecified, fetus 4 ICD10CM Pregnancy [O32.9XX5] Maternal care for malpresentation of Diagnosis O32.9XX5 fetus, unspecified, fetus 5 ICD10CM Pregnancy [O32.9XX9] Maternal care for malpresentation of Diagnosis O32.9XX9 fetus, unspecified, other fetus ICD10CM Pregnancy [O33.0] Maternal care for disproportion due to Diagnosis O33.0 deformity of maternal pelvic bones ICD10CM Pregnancy [O33.1] Maternal care for disproportion due to Diagnosis O33.1 generally contracted pelvis ICD10CM Pregnancy [O33.2] Maternal care for disproportion due to inlet Diagnosis O33.2 contraction of pelvis ICD10CM [O33.3XX0] Maternal care for disproportion due to Pregnancy outlet contraction of pelvis, not applicable or Diagnosis O33.3XX0 unspecified ICD10CM Pregnancy [O33.3XX1] Maternal care for disproportion due to Diagnosis O33.3XX1 outlet contraction of pelvis, fetus 1 ICD10CM Pregnancy [O33.3XX2] Maternal care for disproportion due to Diagnosis O33.3XX2 outlet contraction of pelvis, fetus 2 ICD10CM Pregnancy [O33.3XX3] Maternal care for disproportion due to Diagnosis O33.3XX3 outlet contraction of pelvis, fetus 3 ICD10CM Pregnancy [O33.3XX4] Maternal care for disproportion due to Diagnosis O33.3XX4 outlet contraction of pelvis, fetus 4 ICD10CM
Page 38 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O33.3XX5] Maternal care for disproportion due to Diagnosis O33.3XX5 outlet contraction of pelvis, fetus 5 ICD10CM
Pregnancy [O33.3XX9] Maternal care for disproportion due to Diagnosis O33.3XX9 outlet contraction of pelvis, other fetus ICD10CM [O33.4XX0] Maternal care for disproportion of Pregnancy mixed maternal and fetal origin, not applicable or Diagnosis O33.4XX0 unspecified ICD10CM Pregnancy [O33.4XX1] Maternal care for disproportion of Diagnosis O33.4XX1 mixed maternal and fetal origin, fetus 1 ICD10CM Pregnancy [O33.4XX2] Maternal care for disproportion of Diagnosis O33.4XX2 mixed maternal and fetal origin, fetus 2 ICD10CM Pregnancy [O33.4XX3] Maternal care for disproportion of Diagnosis O33.4XX3 mixed maternal and fetal origin, fetus 3 ICD10CM Pregnancy [O33.4XX4] Maternal care for disproportion of Diagnosis O33.4XX4 mixed maternal and fetal origin, fetus 4 ICD10CM Pregnancy [O33.4XX5] Maternal care for disproportion of Diagnosis O33.4XX5 mixed maternal and fetal origin, fetus 5 ICD10CM Pregnancy [O33.4XX9] Maternal care for disproportion of Diagnosis O33.4XX9 mixed maternal and fetal origin, other fetus ICD10CM
Pregnancy [O33.5XX0] Maternal care for disproportion due to Diagnosis O33.5XX0 unusually large fetus, not applicable or unspecified ICD10CM Pregnancy [O33.5XX1] Maternal care for disproportion due to Diagnosis O33.5XX1 unusually large fetus, fetus 1 ICD10CM Pregnancy [O33.5XX2] Maternal care for disproportion due to Diagnosis O33.5XX2 unusually large fetus, fetus 2 ICD10CM Pregnancy [O33.5XX3] Maternal care for disproportion due to Diagnosis O33.5XX3 unusually large fetus, fetus 3 ICD10CM Pregnancy [O33.5XX4] Maternal care for disproportion due to Diagnosis O33.5XX4 unusually large fetus, fetus 4 ICD10CM Pregnancy [O33.5XX5] Maternal care for disproportion due to Diagnosis O33.5XX5 unusually large fetus, fetus 5 ICD10CM Pregnancy [O33.5XX9] Maternal care for disproportion due to Diagnosis O33.5XX9 unusually large fetus, other fetus ICD10CM
Pregnancy [O33.6XX0] Maternal care for disproportion due to Diagnosis O33.6XX0 hydrocephalic fetus, not applicable or unspecified ICD10CM Pregnancy [O33.6XX1] Maternal care for disproportion due to Diagnosis O33.6XX1 hydrocephalic fetus, fetus 1 ICD10CM Pregnancy [O33.6XX2] Maternal care for disproportion due to Diagnosis O33.6XX2 hydrocephalic fetus, fetus 2 ICD10CM Pregnancy [O33.6XX3] Maternal care for disproportion due to Diagnosis O33.6XX3 hydrocephalic fetus, fetus 3 ICD10CM Pregnancy [O33.6XX4] Maternal care for disproportion due to Diagnosis O33.6XX4 hydrocephalic fetus, fetus 4 ICD10CM Pregnancy [O33.6XX5] Maternal care for disproportion due to Diagnosis O33.6XX5 hydrocephalic fetus, fetus 5 ICD10CM
Page 39 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O33.6XX9] Maternal care for disproportion due to Diagnosis O33.6XX9 hydrocephalic fetus, other fetus ICD10CM Pregnancy [O33.7] Maternal care for disproportion due to Diagnosis O33.7 other fetal deformities ICD10CM [O33.7XX0] Maternal care for disproportion due to Pregnancy other fetal deformities, not applicable or Diagnosis O33.7XX0 unspecified ICD10CM Pregnancy [O33.7XX1] Maternal care for disproportion due to Diagnosis O33.7XX1 other fetal deformities, fetus 1 ICD10CM Pregnancy [O33.7XX2] Maternal care for disproportion due to Diagnosis O33.7XX2 other fetal deformities, fetus 2 ICD10CM Pregnancy [O33.7XX3] Maternal care for disproportion due to Diagnosis O33.7XX3 other fetal deformities, fetus 3 ICD10CM Pregnancy [O33.7XX4] Maternal care for disproportion due to Diagnosis O33.7XX4 other fetal deformities, fetus 4 ICD10CM Pregnancy [O33.7XX5] Maternal care for disproportion due to Diagnosis O33.7XX5 other fetal deformities, fetus 5 ICD10CM Pregnancy [O33.7XX9] Maternal care for disproportion due to Diagnosis O33.7XX9 other fetal deformities, other fetus ICD10CM Pregnancy [O33.8] Maternal care for disproportion of other Diagnosis O33.8 origin ICD10CM Pregnancy [O33.9] Maternal care for disproportion, Diagnosis O33.9 unspecified ICD10CM
Pregnancy [O34.00] Maternal care for unspecified congenital Diagnosis O34.00 malformation of uterus, unspecified trimester ICD10CM
Pregnancy [O34.01] Maternal care for unspecified congenital Diagnosis O34.01 malformation of uterus, first trimester ICD10CM
Pregnancy [O34.02] Maternal care for unspecified congenital Diagnosis O34.02 malformation of uterus, second trimester ICD10CM
Pregnancy [O34.03] Maternal care for unspecified congenital Diagnosis O34.03 malformation of uterus, third trimester ICD10CM Pregnancy [O34.10] Maternal care for benign tumor of corpus Diagnosis O34.10 uteri, unspecified trimester ICD10CM Pregnancy [O34.11] Maternal care for benign tumor of corpus Diagnosis O34.11 uteri, first trimester ICD10CM Pregnancy [O34.12] Maternal care for benign tumor of corpus Diagnosis O34.12 uteri, second trimester ICD10CM Pregnancy [O34.13] Maternal care for benign tumor of corpus Diagnosis O34.13 uteri, third trimester ICD10CM Pregnancy [O34.21] Maternal care for scar from previous Diagnosis O34.21 cesarean delivery ICD10CM Pregnancy [O34.211] Maternal care for low transverse scar Diagnosis O34.211 from previous cesarean delivery ICD10CM
Page 40 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O34.212] Maternal care for vertical scar from Diagnosis O34.212 previous cesarean delivery ICD10CM Pregnancy [O34.219] Maternal care for unspecified type scar Diagnosis O34.219 from previous cesarean delivery ICD10CM Pregnancy [O34.29] Maternal care due to uterine scar from Diagnosis O34.29 other previous surgery ICD10CM Pregnancy [O34.30] Maternal care for cervical incompetence, Diagnosis O34.30 unspecified trimester ICD10CM Pregnancy [O34.31] Maternal care for cervical incompetence, Diagnosis O34.31 first trimester ICD10CM Pregnancy [O34.32] Maternal care for cervical incompetence, Diagnosis O34.32 second trimester ICD10CM Pregnancy [O34.33] Maternal care for cervical incompetence, Diagnosis O34.33 third trimester ICD10CM Pregnancy [O34.40] Maternal care for other abnormalities of Diagnosis O34.40 cervix, unspecified trimester ICD10CM Pregnancy [O34.41] Maternal care for other abnormalities of Diagnosis O34.41 cervix, first trimester ICD10CM Pregnancy [O34.42] Maternal care for other abnormalities of Diagnosis O34.42 cervix, second trimester ICD10CM Pregnancy [O34.43] Maternal care for other abnormalities of Diagnosis O34.43 cervix, third trimester ICD10CM Pregnancy [O34.511] Maternal care for incarceration of gravid Diagnosis O34.511 uterus, first trimester ICD10CM Pregnancy [O34.512] Maternal care for incarceration of gravid Diagnosis O34.512 uterus, second trimester ICD10CM Pregnancy [O34.513] Maternal care for incarceration of gravid Diagnosis O34.513 uterus, third trimester ICD10CM Pregnancy [O34.519] Maternal care for incarceration of gravid Diagnosis O34.519 uterus, unspecified trimester ICD10CM Pregnancy [O34.521] Maternal care for prolapse of gravid Diagnosis O34.521 uterus, first trimester ICD10CM Pregnancy [O34.522] Maternal care for prolapse of gravid Diagnosis O34.522 uterus, second trimester ICD10CM Pregnancy [O34.523] Maternal care for prolapse of gravid Diagnosis O34.523 uterus, third trimester ICD10CM Pregnancy [O34.529] Maternal care for prolapse of gravid Diagnosis O34.529 uterus, unspecified trimester ICD10CM Pregnancy [O34.531] Maternal care for retroversion of gravid Diagnosis O34.531 uterus, first trimester ICD10CM Pregnancy [O34.532] Maternal care for retroversion of gravid Diagnosis O34.532 uterus, second trimester ICD10CM Pregnancy [O34.533] Maternal care for retroversion of gravid Diagnosis O34.533 uterus, third trimester ICD10CM Pregnancy [O34.539] Maternal care for retroversion of gravid Diagnosis O34.539 uterus, unspecified trimester ICD10CM Pregnancy [O34.591] Maternal care for other abnormalities of Diagnosis O34.591 gravid uterus, first trimester ICD10CM
Page 41 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O34.592] Maternal care for other abnormalities of Diagnosis O34.592 gravid uterus, second trimester ICD10CM Pregnancy [O34.593] Maternal care for other abnormalities of Diagnosis O34.593 gravid uterus, third trimester ICD10CM
Pregnancy [O34.599] Maternal care for other abnormalities of Diagnosis O34.599 gravid uterus, unspecified trimester ICD10CM Pregnancy [O34.60] Maternal care for abnormality of vagina, Diagnosis O34.60 unspecified trimester ICD10CM Pregnancy [O34.61] Maternal care for abnormality of vagina, Diagnosis O34.61 first trimester ICD10CM Pregnancy [O34.62] Maternal care for abnormality of vagina, Diagnosis O34.62 second trimester ICD10CM Pregnancy [O34.63] Maternal care for abnormality of vagina, Diagnosis O34.63 third trimester ICD10CM Pregnancy [O34.70] Maternal care for abnormality of vulva Diagnosis O34.70 and perineum, unspecified trimester ICD10CM Pregnancy [O34.71] Maternal care for abnormality of vulva Diagnosis O34.71 and perineum, first trimester ICD10CM Pregnancy [O34.72] Maternal care for abnormality of vulva Diagnosis O34.72 and perineum, second trimester ICD10CM Pregnancy [O34.73] Maternal care for abnormality of vulva Diagnosis O34.73 and perineum, third trimester ICD10CM
Pregnancy [O34.80] Maternal care for other abnormalities of Diagnosis O34.80 pelvic organs, unspecified trimester ICD10CM Pregnancy [O34.81] Maternal care for other abnormalities of Diagnosis O34.81 pelvic organs, first trimester ICD10CM
Pregnancy [O34.82] Maternal care for other abnormalities of Diagnosis O34.82 pelvic organs, second trimester ICD10CM Pregnancy [O34.83] Maternal care for other abnormalities of Diagnosis O34.83 pelvic organs, third trimester ICD10CM
Pregnancy [O34.90] Maternal care for abnormality of pelvic Diagnosis O34.90 organ, unspecified, unspecified trimester ICD10CM Pregnancy [O34.91] Maternal care for abnormality of pelvic Diagnosis O34.91 organ, unspecified, first trimester ICD10CM Pregnancy [O34.92] Maternal care for abnormality of pelvic Diagnosis O34.92 organ, unspecified, second trimester ICD10CM Pregnancy [O34.93] Maternal care for abnormality of pelvic Diagnosis O34.93 organ, unspecified, third trimester ICD10CM [O35.0XX0] Maternal care for (suspected) central Pregnancy nervous system malformation in fetus, not Diagnosis O35.0XX0 applicable or unspecified ICD10CM
Page 42 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O35.0XX1] Maternal care for (suspected) central Diagnosis O35.0XX1 nervous system malformation in fetus, fetus 1 ICD10CM
Pregnancy [O35.0XX2] Maternal care for (suspected) central Diagnosis O35.0XX2 nervous system malformation in fetus, fetus 2 ICD10CM
Pregnancy [O35.0XX3] Maternal care for (suspected) central Diagnosis O35.0XX3 nervous system malformation in fetus, fetus 3 ICD10CM
Pregnancy [O35.0XX4] Maternal care for (suspected) central Diagnosis O35.0XX4 nervous system malformation in fetus, fetus 4 ICD10CM
Pregnancy [O35.0XX5] Maternal care for (suspected) central Diagnosis O35.0XX5 nervous system malformation in fetus, fetus 5 ICD10CM
Pregnancy [O35.0XX9] Maternal care for (suspected) central Diagnosis O35.0XX9 nervous system malformation in fetus, other fetus ICD10CM [O35.1XX0] Maternal care for (suspected) Pregnancy chromosomal abnormality in fetus, not applicable Diagnosis O35.1XX0 or unspecified ICD10CM Pregnancy [O35.1XX1] Maternal care for (suspected) Diagnosis O35.1XX1 chromosomal abnormality in fetus, fetus 1 ICD10CM Pregnancy [O35.1XX2] Maternal care for (suspected) Diagnosis O35.1XX2 chromosomal abnormality in fetus, fetus 2 ICD10CM Pregnancy [O35.1XX3] Maternal care for (suspected) Diagnosis O35.1XX3 chromosomal abnormality in fetus, fetus 3 ICD10CM Pregnancy [O35.1XX4] Maternal care for (suspected) Diagnosis O35.1XX4 chromosomal abnormality in fetus, fetus 4 ICD10CM Pregnancy [O35.1XX5] Maternal care for (suspected) Diagnosis O35.1XX5 chromosomal abnormality in fetus, fetus 5 ICD10CM
Pregnancy [O35.1XX9] Maternal care for (suspected) Diagnosis O35.1XX9 chromosomal abnormality in fetus, other fetus ICD10CM [O35.2XX0] Maternal care for (suspected) Pregnancy hereditary disease in fetus, not applicable or Diagnosis O35.2XX0 unspecified ICD10CM Pregnancy [O35.2XX1] Maternal care for (suspected) Diagnosis O35.2XX1 hereditary disease in fetus, fetus 1 ICD10CM Pregnancy [O35.2XX2] Maternal care for (suspected) Diagnosis O35.2XX2 hereditary disease in fetus, fetus 2 ICD10CM Pregnancy [O35.2XX3] Maternal care for (suspected) Diagnosis O35.2XX3 hereditary disease in fetus, fetus 3 ICD10CM Pregnancy [O35.2XX4] Maternal care for (suspected) Diagnosis O35.2XX4 hereditary disease in fetus, fetus 4 ICD10CM Pregnancy [O35.2XX5] Maternal care for (suspected) Diagnosis O35.2XX5 hereditary disease in fetus, fetus 5 ICD10CM
Page 43 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O35.2XX9] Maternal care for (suspected) Diagnosis O35.2XX9 hereditary disease in fetus, other fetus ICD10CM [O35.3XX0] Maternal care for (suspected) damage Pregnancy to fetus from viral disease in mother, not applicable Diagnosis O35.3XX0 or unspecified ICD10CM
Pregnancy [O35.3XX1] Maternal care for (suspected) damage Diagnosis O35.3XX1 to fetus from viral disease in mother, fetus 1 ICD10CM
Pregnancy [O35.3XX2] Maternal care for (suspected) damage Diagnosis O35.3XX2 to fetus from viral disease in mother, fetus 2 ICD10CM
Pregnancy [O35.3XX3] Maternal care for (suspected) damage Diagnosis O35.3XX3 to fetus from viral disease in mother, fetus 3 ICD10CM
Pregnancy [O35.3XX4] Maternal care for (suspected) damage Diagnosis O35.3XX4 to fetus from viral disease in mother, fetus 4 ICD10CM
Pregnancy [O35.3XX5] Maternal care for (suspected) damage Diagnosis O35.3XX5 to fetus from viral disease in mother, fetus 5 ICD10CM
Pregnancy [O35.3XX9] Maternal care for (suspected) damage Diagnosis O35.3XX9 to fetus from viral disease in mother, other fetus ICD10CM
Pregnancy [O35.4XX0] Maternal care for (suspected) damage Diagnosis O35.4XX0 to fetus from alcohol, not applicable or unspecified ICD10CM Pregnancy [O35.4XX1] Maternal care for (suspected) damage Diagnosis O35.4XX1 to fetus from alcohol, fetus 1 ICD10CM Pregnancy [O35.4XX2] Maternal care for (suspected) damage Diagnosis O35.4XX2 to fetus from alcohol, fetus 2 ICD10CM Pregnancy [O35.4XX3] Maternal care for (suspected) damage Diagnosis O35.4XX3 to fetus from alcohol, fetus 3 ICD10CM Pregnancy [O35.4XX4] Maternal care for (suspected) damage Diagnosis O35.4XX4 to fetus from alcohol, fetus 4 ICD10CM Pregnancy [O35.4XX5] Maternal care for (suspected) damage Diagnosis O35.4XX5 to fetus from alcohol, fetus 5 ICD10CM Pregnancy [O35.4XX9] Maternal care for (suspected) damage Diagnosis O35.4XX9 to fetus from alcohol, other fetus ICD10CM
Pregnancy [O35.5XX0] Maternal care for (suspected) damage Diagnosis O35.5XX0 to fetus by drugs, not applicable or unspecified ICD10CM Pregnancy [O35.5XX1] Maternal care for (suspected) damage Diagnosis O35.5XX1 to fetus by drugs, fetus 1 ICD10CM Pregnancy [O35.5XX2] Maternal care for (suspected) damage Diagnosis O35.5XX2 to fetus by drugs, fetus 2 ICD10CM Pregnancy [O35.5XX3] Maternal care for (suspected) damage Diagnosis O35.5XX3 to fetus by drugs, fetus 3 ICD10CM
Page 44 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O35.5XX4] Maternal care for (suspected) damage Diagnosis O35.5XX4 to fetus by drugs, fetus 4 ICD10CM Pregnancy [O35.5XX5] Maternal care for (suspected) damage Diagnosis O35.5XX5 to fetus by drugs, fetus 5 ICD10CM Pregnancy [O35.5XX9] Maternal care for (suspected) damage Diagnosis O35.5XX9 to fetus by drugs, other fetus ICD10CM
Pregnancy [O35.6XX0] Maternal care for (suspected) damage Diagnosis O35.6XX0 to fetus by radiation, not applicable or unspecified ICD10CM Pregnancy [O35.6XX1] Maternal care for (suspected) damage Diagnosis O35.6XX1 to fetus by radiation, fetus 1 ICD10CM Pregnancy [O35.6XX2] Maternal care for (suspected) damage Diagnosis O35.6XX2 to fetus by radiation, fetus 2 ICD10CM Pregnancy [O35.6XX3] Maternal care for (suspected) damage Diagnosis O35.6XX3 to fetus by radiation, fetus 3 ICD10CM Pregnancy [O35.6XX4] Maternal care for (suspected) damage Diagnosis O35.6XX4 to fetus by radiation, fetus 4 ICD10CM Pregnancy [O35.6XX5] Maternal care for (suspected) damage Diagnosis O35.6XX5 to fetus by radiation, fetus 5 ICD10CM Pregnancy [O35.6XX9] Maternal care for (suspected) damage Diagnosis O35.6XX9 to fetus by radiation, other fetus ICD10CM [O35.7XX0] Maternal care for (suspected) damage Pregnancy to fetus by other medical procedures, not Diagnosis O35.7XX0 applicable or unspecified ICD10CM
Pregnancy [O35.7XX1] Maternal care for (suspected) damage Diagnosis O35.7XX1 to fetus by other medical procedures, fetus 1 ICD10CM
Pregnancy [O35.7XX2] Maternal care for (suspected) damage Diagnosis O35.7XX2 to fetus by other medical procedures, fetus 2 ICD10CM
Pregnancy [O35.7XX3] Maternal care for (suspected) damage Diagnosis O35.7XX3 to fetus by other medical procedures, fetus 3 ICD10CM
Pregnancy [O35.7XX4] Maternal care for (suspected) damage Diagnosis O35.7XX4 to fetus by other medical procedures, fetus 4 ICD10CM
Pregnancy [O35.7XX5] Maternal care for (suspected) damage Diagnosis O35.7XX5 to fetus by other medical procedures, fetus 5 ICD10CM
Pregnancy [O35.7XX9] Maternal care for (suspected) damage Diagnosis O35.7XX9 to fetus by other medical procedures, other fetus ICD10CM [O35.8XX0] Maternal care for other (suspected) Pregnancy fetal abnormality and damage, not applicable or Diagnosis O35.8XX0 unspecified ICD10CM
Pregnancy [O35.8XX1] Maternal care for other (suspected) Diagnosis O35.8XX1 fetal abnormality and damage, fetus 1 ICD10CM
Page 45 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O35.8XX2] Maternal care for other (suspected) Diagnosis O35.8XX2 fetal abnormality and damage, fetus 2 ICD10CM
Pregnancy [O35.8XX3] Maternal care for other (suspected) Diagnosis O35.8XX3 fetal abnormality and damage, fetus 3 ICD10CM
Pregnancy [O35.8XX4] Maternal care for other (suspected) Diagnosis O35.8XX4 fetal abnormality and damage, fetus 4 ICD10CM
Pregnancy [O35.8XX5] Maternal care for other (suspected) Diagnosis O35.8XX5 fetal abnormality and damage, fetus 5 ICD10CM
Pregnancy [O35.8XX9] Maternal care for other (suspected) Diagnosis O35.8XX9 fetal abnormality and damage, other fetus ICD10CM [O35.9XX0] Maternal care for (suspected) fetal Pregnancy abnormality and damage, unspecified, not Diagnosis O35.9XX0 applicable or unspecified ICD10CM
Pregnancy [O35.9XX1] Maternal care for (suspected) fetal Diagnosis O35.9XX1 abnormality and damage, unspecified, fetus 1 ICD10CM
Pregnancy [O35.9XX2] Maternal care for (suspected) fetal Diagnosis O35.9XX2 abnormality and damage, unspecified, fetus 2 ICD10CM
Pregnancy [O35.9XX3] Maternal care for (suspected) fetal Diagnosis O35.9XX3 abnormality and damage, unspecified, fetus 3 ICD10CM
Pregnancy [O35.9XX4] Maternal care for (suspected) fetal Diagnosis O35.9XX4 abnormality and damage, unspecified, fetus 4 ICD10CM
Pregnancy [O35.9XX5] Maternal care for (suspected) fetal Diagnosis O35.9XX5 abnormality and damage, unspecified, fetus 5 ICD10CM
Pregnancy [O35.9XX9] Maternal care for (suspected) fetal Diagnosis O35.9XX9 abnormality and damage, unspecified, other fetus ICD10CM [O36.0110] Maternal care for anti-D [Rh] Pregnancy antibodies, first trimester, not applicable or Diagnosis O36.0110 unspecified ICD10CM Pregnancy [O36.0111] Maternal care for anti-D [Rh] Diagnosis O36.0111 antibodies, first trimester, fetus 1 ICD10CM Pregnancy [O36.0112] Maternal care for anti-D [Rh] Diagnosis O36.0112 antibodies, first trimester, fetus 2 ICD10CM Pregnancy [O36.0113] Maternal care for anti-D [Rh] Diagnosis O36.0113 antibodies, first trimester, fetus 3 ICD10CM Pregnancy [O36.0114] Maternal care for anti-D [Rh] Diagnosis O36.0114 antibodies, first trimester, fetus 4 ICD10CM
Page 46 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.0115] Maternal care for anti-D [Rh] Diagnosis O36.0115 antibodies, first trimester, fetus 5 ICD10CM Pregnancy [O36.0119] Maternal care for anti-D [Rh] Diagnosis O36.0119 antibodies, first trimester, other fetus ICD10CM [O36.0120] Maternal care for anti-D [Rh] Pregnancy antibodies, second trimester, not applicable or Diagnosis O36.0120 unspecified ICD10CM Pregnancy [O36.0121] Maternal care for anti-D [Rh] Diagnosis O36.0121 antibodies, second trimester, fetus 1 ICD10CM Pregnancy [O36.0122] Maternal care for anti-D [Rh] Diagnosis O36.0122 antibodies, second trimester, fetus 2 ICD10CM Pregnancy [O36.0123] Maternal care for anti-D [Rh] Diagnosis O36.0123 antibodies, second trimester, fetus 3 ICD10CM Pregnancy [O36.0124] Maternal care for anti-D [Rh] Diagnosis O36.0124 antibodies, second trimester, fetus 4 ICD10CM Pregnancy [O36.0125] Maternal care for anti-D [Rh] Diagnosis O36.0125 antibodies, second trimester, fetus 5 ICD10CM Pregnancy [O36.0129] Maternal care for anti-D [Rh] Diagnosis O36.0129 antibodies, second trimester, other fetus ICD10CM [O36.0130] Maternal care for anti-D [Rh] Pregnancy antibodies, third trimester, not applicable or Diagnosis O36.0130 unspecified ICD10CM Pregnancy [O36.0131] Maternal care for anti-D [Rh] Diagnosis O36.0131 antibodies, third trimester, fetus 1 ICD10CM Pregnancy [O36.0132] Maternal care for anti-D [Rh] Diagnosis O36.0132 antibodies, third trimester, fetus 2 ICD10CM Pregnancy [O36.0133] Maternal care for anti-D [Rh] Diagnosis O36.0133 antibodies, third trimester, fetus 3 ICD10CM Pregnancy [O36.0134] Maternal care for anti-D [Rh] Diagnosis O36.0134 antibodies, third trimester, fetus 4 ICD10CM Pregnancy [O36.0135] Maternal care for anti-D [Rh] Diagnosis O36.0135 antibodies, third trimester, fetus 5 ICD10CM Pregnancy [O36.0139] Maternal care for anti-D [Rh] Diagnosis O36.0139 antibodies, third trimester, other fetus ICD10CM [O36.0190] Maternal care for anti-D [Rh] Pregnancy antibodies, unspecified trimester, not applicable or Diagnosis O36.0190 unspecified ICD10CM Pregnancy [O36.0191] Maternal care for anti-D [Rh] Diagnosis O36.0191 antibodies, unspecified trimester, fetus 1 ICD10CM Pregnancy [O36.0192] Maternal care for anti-D [Rh] Diagnosis O36.0192 antibodies, unspecified trimester, fetus 2 ICD10CM Pregnancy [O36.0193] Maternal care for anti-D [Rh] Diagnosis O36.0193 antibodies, unspecified trimester, fetus 3 ICD10CM Pregnancy [O36.0194] Maternal care for anti-D [Rh] Diagnosis O36.0194 antibodies, unspecified trimester, fetus 4 ICD10CM Pregnancy [O36.0195] Maternal care for anti-D [Rh] Diagnosis O36.0195 antibodies, unspecified trimester, fetus 5 ICD10CM
Page 47 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.0199] Maternal care for anti-D [Rh] Diagnosis O36.0199 antibodies, unspecified trimester, other fetus ICD10CM [O36.0910] Maternal care for other rhesus Pregnancy isoimmunization, first trimester, not applicable or Diagnosis O36.0910 unspecified ICD10CM Pregnancy [O36.0911] Maternal care for other rhesus Diagnosis O36.0911 isoimmunization, first trimester, fetus 1 ICD10CM Pregnancy [O36.0912] Maternal care for other rhesus Diagnosis O36.0912 isoimmunization, first trimester, fetus 2 ICD10CM Pregnancy [O36.0913] Maternal care for other rhesus Diagnosis O36.0913 isoimmunization, first trimester, fetus 3 ICD10CM Pregnancy [O36.0914] Maternal care for other rhesus Diagnosis O36.0914 isoimmunization, first trimester, fetus 4 ICD10CM Pregnancy [O36.0915] Maternal care for other rhesus Diagnosis O36.0915 isoimmunization, first trimester, fetus 5 ICD10CM Pregnancy [O36.0919] Maternal care for other rhesus Diagnosis O36.0919 isoimmunization, first trimester, other fetus ICD10CM [O36.0920] Maternal care for other rhesus Pregnancy isoimmunization, second trimester, not applicable Diagnosis O36.0920 or unspecified ICD10CM Pregnancy [O36.0921] Maternal care for other rhesus Diagnosis O36.0921 isoimmunization, second trimester, fetus 1 ICD10CM Pregnancy [O36.0922] Maternal care for other rhesus Diagnosis O36.0922 isoimmunization, second trimester, fetus 2 ICD10CM Pregnancy [O36.0923] Maternal care for other rhesus Diagnosis O36.0923 isoimmunization, second trimester, fetus 3 ICD10CM Pregnancy [O36.0924] Maternal care for other rhesus Diagnosis O36.0924 isoimmunization, second trimester, fetus 4 ICD10CM Pregnancy [O36.0925] Maternal care for other rhesus Diagnosis O36.0925 isoimmunization, second trimester, fetus 5 ICD10CM
Pregnancy [O36.0929] Maternal care for other rhesus Diagnosis O36.0929 isoimmunization, second trimester, other fetus ICD10CM [O36.0930] Maternal care for other rhesus Pregnancy isoimmunization, third trimester, not applicable or Diagnosis O36.0930 unspecified ICD10CM Pregnancy [O36.0931] Maternal care for other rhesus Diagnosis O36.0931 isoimmunization, third trimester, fetus 1 ICD10CM Pregnancy [O36.0932] Maternal care for other rhesus Diagnosis O36.0932 isoimmunization, third trimester, fetus 2 ICD10CM Pregnancy [O36.0933] Maternal care for other rhesus Diagnosis O36.0933 isoimmunization, third trimester, fetus 3 ICD10CM Pregnancy [O36.0934] Maternal care for other rhesus Diagnosis O36.0934 isoimmunization, third trimester, fetus 4 ICD10CM Pregnancy [O36.0935] Maternal care for other rhesus Diagnosis O36.0935 isoimmunization, third trimester, fetus 5 ICD10CM Pregnancy [O36.0939] Maternal care for other rhesus Diagnosis O36.0939 isoimmunization, third trimester, other fetus ICD10CM
Page 48 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O36.0990] Maternal care for other rhesus Pregnancy isoimmunization, unspecified trimester, not Diagnosis O36.0990 applicable or unspecified ICD10CM
Pregnancy [O36.0991] Maternal care for other rhesus Diagnosis O36.0991 isoimmunization, unspecified trimester, fetus 1 ICD10CM
Pregnancy [O36.0992] Maternal care for other rhesus Diagnosis O36.0992 isoimmunization, unspecified trimester, fetus 2 ICD10CM
Pregnancy [O36.0993] Maternal care for other rhesus Diagnosis O36.0993 isoimmunization, unspecified trimester, fetus 3 ICD10CM
Pregnancy [O36.0994] Maternal care for other rhesus Diagnosis O36.0994 isoimmunization, unspecified trimester, fetus 4 ICD10CM
Pregnancy [O36.0995] Maternal care for other rhesus Diagnosis O36.0995 isoimmunization, unspecified trimester, fetus 5 ICD10CM
Pregnancy [O36.0999] Maternal care for other rhesus Diagnosis O36.0999 isoimmunization, unspecified trimester, other fetus ICD10CM
Pregnancy [O36.1110] Maternal care for Anti-A sensitization, Diagnosis O36.1110 first trimester, not applicable or unspecified ICD10CM Pregnancy [O36.1111] Maternal care for Anti-A sensitization, Diagnosis O36.1111 first trimester, fetus 1 ICD10CM Pregnancy [O36.1112] Maternal care for Anti-A sensitization, Diagnosis O36.1112 first trimester, fetus 2 ICD10CM Pregnancy [O36.1113] Maternal care for Anti-A sensitization, Diagnosis O36.1113 first trimester, fetus 3 ICD10CM Pregnancy [O36.1114] Maternal care for Anti-A sensitization, Diagnosis O36.1114 first trimester, fetus 4 ICD10CM Pregnancy [O36.1115] Maternal care for Anti-A sensitization, Diagnosis O36.1115 first trimester, fetus 5 ICD10CM Pregnancy [O36.1119] Maternal care for Anti-A sensitization, Diagnosis O36.1119 first trimester, other fetus ICD10CM
Pregnancy [O36.1120] Maternal care for Anti-A sensitization, Diagnosis O36.1120 second trimester, not applicable or unspecified ICD10CM Pregnancy [O36.1121] Maternal care for Anti-A sensitization, Diagnosis O36.1121 second trimester, fetus 1 ICD10CM Pregnancy [O36.1122] Maternal care for Anti-A sensitization, Diagnosis O36.1122 second trimester, fetus 2 ICD10CM Pregnancy [O36.1123] Maternal care for Anti-A sensitization, Diagnosis O36.1123 second trimester, fetus 3 ICD10CM Pregnancy [O36.1124] Maternal care for Anti-A sensitization, Diagnosis O36.1124 second trimester, fetus 4 ICD10CM
Page 49 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.1125] Maternal care for Anti-A sensitization, Diagnosis O36.1125 second trimester, fetus 5 ICD10CM Pregnancy [O36.1129] Maternal care for Anti-A sensitization, Diagnosis O36.1129 second trimester, other fetus ICD10CM
Pregnancy [O36.1130] Maternal care for Anti-A sensitization, Diagnosis O36.1130 third trimester, not applicable or unspecified ICD10CM Pregnancy [O36.1131] Maternal care for Anti-A sensitization, Diagnosis O36.1131 third trimester, fetus 1 ICD10CM Pregnancy [O36.1132] Maternal care for Anti-A sensitization, Diagnosis O36.1132 third trimester, fetus 2 ICD10CM Pregnancy [O36.1133] Maternal care for Anti-A sensitization, Diagnosis O36.1133 third trimester, fetus 3 ICD10CM Pregnancy [O36.1134] Maternal care for Anti-A sensitization, Diagnosis O36.1134 third trimester, fetus 4 ICD10CM Pregnancy [O36.1135] Maternal care for Anti-A sensitization, Diagnosis O36.1135 third trimester, fetus 5 ICD10CM Pregnancy [O36.1139] Maternal care for Anti-A sensitization, Diagnosis O36.1139 third trimester, other fetus ICD10CM
Pregnancy [O36.1190] Maternal care for Anti-A sensitization, Diagnosis O36.1190 unspecified trimester, not applicable or unspecified ICD10CM Pregnancy [O36.1191] Maternal care for Anti-A sensitization, Diagnosis O36.1191 unspecified trimester, fetus 1 ICD10CM Pregnancy [O36.1192] Maternal care for Anti-A sensitization, Diagnosis O36.1192 unspecified trimester, fetus 2 ICD10CM Pregnancy [O36.1193] Maternal care for Anti-A sensitization, Diagnosis O36.1193 unspecified trimester, fetus 3 ICD10CM Pregnancy [O36.1194] Maternal care for Anti-A sensitization, Diagnosis O36.1194 unspecified trimester, fetus 4 ICD10CM Pregnancy [O36.1195] Maternal care for Anti-A sensitization, Diagnosis O36.1195 unspecified trimester, fetus 5 ICD10CM
Pregnancy [O36.1199] Maternal care for Anti-A sensitization, Diagnosis O36.1199 unspecified trimester, other fetus ICD10CM [O36.1910] Maternal care for other Pregnancy isoimmunization, first trimester, not applicable or Diagnosis O36.1910 unspecified ICD10CM Pregnancy [O36.1911] Maternal care for other Diagnosis O36.1911 isoimmunization, first trimester, fetus 1 ICD10CM Pregnancy [O36.1912] Maternal care for other Diagnosis O36.1912 isoimmunization, first trimester, fetus 2 ICD10CM Pregnancy [O36.1913] Maternal care for other Diagnosis O36.1913 isoimmunization, first trimester, fetus 3 ICD10CM Pregnancy [O36.1914] Maternal care for other Diagnosis O36.1914 isoimmunization, first trimester, fetus 4 ICD10CM Pregnancy [O36.1915] Maternal care for other Diagnosis O36.1915 isoimmunization, first trimester, fetus 5 ICD10CM
Page 50 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.1919] Maternal care for other Diagnosis O36.1919 isoimmunization, first trimester, other fetus ICD10CM [O36.1920] Maternal care for other Pregnancy isoimmunization, second trimester, not applicable Diagnosis O36.1920 or unspecified ICD10CM Pregnancy [O36.1921] Maternal care for other Diagnosis O36.1921 isoimmunization, second trimester, fetus 1 ICD10CM Pregnancy [O36.1922] Maternal care for other Diagnosis O36.1922 isoimmunization, second trimester, fetus 2 ICD10CM Pregnancy [O36.1923] Maternal care for other Diagnosis O36.1923 isoimmunization, second trimester, fetus 3 ICD10CM Pregnancy [O36.1924] Maternal care for other Diagnosis O36.1924 isoimmunization, second trimester, fetus 4 ICD10CM Pregnancy [O36.1925] Maternal care for other Diagnosis O36.1925 isoimmunization, second trimester, fetus 5 ICD10CM
Pregnancy [O36.1929] Maternal care for other Diagnosis O36.1929 isoimmunization, second trimester, other fetus ICD10CM [O36.1930] Maternal care for other Pregnancy isoimmunization, third trimester, not applicable or Diagnosis O36.1930 unspecified ICD10CM Pregnancy [O36.1931] Maternal care for other Diagnosis O36.1931 isoimmunization, third trimester, fetus 1 ICD10CM Pregnancy [O36.1932] Maternal care for other Diagnosis O36.1932 isoimmunization, third trimester, fetus 2 ICD10CM Pregnancy [O36.1933] Maternal care for other Diagnosis O36.1933 isoimmunization, third trimester, fetus 3 ICD10CM Pregnancy [O36.1934] Maternal care for other Diagnosis O36.1934 isoimmunization, third trimester, fetus 4 ICD10CM Pregnancy [O36.1935] Maternal care for other Diagnosis O36.1935 isoimmunization, third trimester, fetus 5 ICD10CM Pregnancy [O36.1939] Maternal care for other Diagnosis O36.1939 isoimmunization, third trimester, other fetus ICD10CM [O36.1990] Maternal care for other Pregnancy isoimmunization, unspecified trimester, not Diagnosis O36.1990 applicable or unspecified ICD10CM
Pregnancy [O36.1991] Maternal care for other Diagnosis O36.1991 isoimmunization, unspecified trimester, fetus 1 ICD10CM
Pregnancy [O36.1992] Maternal care for other Diagnosis O36.1992 isoimmunization, unspecified trimester, fetus 2 ICD10CM
Pregnancy [O36.1993] Maternal care for other Diagnosis O36.1993 isoimmunization, unspecified trimester, fetus 3 ICD10CM
Pregnancy [O36.1994] Maternal care for other Diagnosis O36.1994 isoimmunization, unspecified trimester, fetus 4 ICD10CM
Page 51 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O36.1995] Maternal care for other Diagnosis O36.1995 isoimmunization, unspecified trimester, fetus 5 ICD10CM
Pregnancy [O36.1999] Maternal care for other Diagnosis O36.1999 isoimmunization, unspecified trimester, other fetus ICD10CM
Pregnancy [O36.20X0] Maternal care for hydrops fetalis, Diagnosis O36.20X0 unspecified trimester, not applicable or unspecified ICD10CM Pregnancy [O36.20X1] Maternal care for hydrops fetalis, Diagnosis O36.20X1 unspecified trimester, fetus 1 ICD10CM Pregnancy [O36.20X2] Maternal care for hydrops fetalis, Diagnosis O36.20X2 unspecified trimester, fetus 2 ICD10CM Pregnancy [O36.20X3] Maternal care for hydrops fetalis, Diagnosis O36.20X3 unspecified trimester, fetus 3 ICD10CM Pregnancy [O36.20X4] Maternal care for hydrops fetalis, Diagnosis O36.20X4 unspecified trimester, fetus 4 ICD10CM Pregnancy [O36.20X5] Maternal care for hydrops fetalis, Diagnosis O36.20X5 unspecified trimester, fetus 5 ICD10CM Pregnancy [O36.20X9] Maternal care for hydrops fetalis, Diagnosis O36.20X9 unspecified trimester, other fetus ICD10CM Pregnancy [O36.21X0] Maternal care for hydrops fetalis, first Diagnosis O36.21X0 trimester, not applicable or unspecified ICD10CM Pregnancy [O36.21X1] Maternal care for hydrops fetalis, first Diagnosis O36.21X1 trimester, fetus 1 ICD10CM Pregnancy [O36.21X2] Maternal care for hydrops fetalis, first Diagnosis O36.21X2 trimester, fetus 2 ICD10CM Pregnancy [O36.21X3] Maternal care for hydrops fetalis, first Diagnosis O36.21X3 trimester, fetus 3 ICD10CM Pregnancy [O36.21X4] Maternal care for hydrops fetalis, first Diagnosis O36.21X4 trimester, fetus 4 ICD10CM Pregnancy [O36.21X5] Maternal care for hydrops fetalis, first Diagnosis O36.21X5 trimester, fetus 5 ICD10CM Pregnancy [O36.21X9] Maternal care for hydrops fetalis, first Diagnosis O36.21X9 trimester, other fetus ICD10CM
Pregnancy [O36.22X0] Maternal care for hydrops fetalis, Diagnosis O36.22X0 second trimester, not applicable or unspecified ICD10CM Pregnancy [O36.22X1] Maternal care for hydrops fetalis, Diagnosis O36.22X1 second trimester, fetus 1 ICD10CM Pregnancy [O36.22X2] Maternal care for hydrops fetalis, Diagnosis O36.22X2 second trimester, fetus 2 ICD10CM Pregnancy [O36.22X3] Maternal care for hydrops fetalis, Diagnosis O36.22X3 second trimester, fetus 3 ICD10CM Pregnancy [O36.22X4] Maternal care for hydrops fetalis, Diagnosis O36.22X4 second trimester, fetus 4 ICD10CM Pregnancy [O36.22X5] Maternal care for hydrops fetalis, Diagnosis O36.22X5 second trimester, fetus 5 ICD10CM
Page 52 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.22X9] Maternal care for hydrops fetalis, Diagnosis O36.22X9 second trimester, other fetus ICD10CM Pregnancy [O36.23X0] Maternal care for hydrops fetalis, third Diagnosis O36.23X0 trimester, not applicable or unspecified ICD10CM Pregnancy [O36.23X1] Maternal care for hydrops fetalis, third Diagnosis O36.23X1 trimester, fetus 1 ICD10CM Pregnancy [O36.23X2] Maternal care for hydrops fetalis, third Diagnosis O36.23X2 trimester, fetus 2 ICD10CM Pregnancy [O36.23X3] Maternal care for hydrops fetalis, third Diagnosis O36.23X3 trimester, fetus 3 ICD10CM Pregnancy [O36.23X4] Maternal care for hydrops fetalis, third Diagnosis O36.23X4 trimester, fetus 4 ICD10CM Pregnancy [O36.23X5] Maternal care for hydrops fetalis, third Diagnosis O36.23X5 trimester, fetus 5 ICD10CM Pregnancy [O36.23X9] Maternal care for hydrops fetalis, third Diagnosis O36.23X9 trimester, other fetus ICD10CM Pregnancy [O36.4XX0] Maternal care for intrauterine death, Diagnosis O36.4XX0 not applicable or unspecified ICD10CM Pregnancy [O36.4XX1] Maternal care for intrauterine death, Diagnosis O36.4XX1 fetus 1 ICD10CM Pregnancy [O36.4XX2] Maternal care for intrauterine death, Diagnosis O36.4XX2 fetus 2 ICD10CM Pregnancy [O36.4XX3] Maternal care for intrauterine death, Diagnosis O36.4XX3 fetus 3 ICD10CM Pregnancy [O36.4XX4] Maternal care for intrauterine death, Diagnosis O36.4XX4 fetus 4 ICD10CM Pregnancy [O36.4XX5] Maternal care for intrauterine death, Diagnosis O36.4XX5 fetus 5 ICD10CM Pregnancy [O36.4XX9] Maternal care for intrauterine death, Diagnosis O36.4XX9 other fetus ICD10CM [O36.5110] Maternal care for known or suspected Pregnancy placental insufficiency, first trimester, not Diagnosis O36.5110 applicable or unspecified ICD10CM
Pregnancy [O36.5111] Maternal care for known or suspected Diagnosis O36.5111 placental insufficiency, first trimester, fetus 1 ICD10CM
Pregnancy [O36.5112] Maternal care for known or suspected Diagnosis O36.5112 placental insufficiency, first trimester, fetus 2 ICD10CM
Pregnancy [O36.5113] Maternal care for known or suspected Diagnosis O36.5113 placental insufficiency, first trimester, fetus 3 ICD10CM
Pregnancy [O36.5114] Maternal care for known or suspected Diagnosis O36.5114 placental insufficiency, first trimester, fetus 4 ICD10CM
Pregnancy [O36.5115] Maternal care for known or suspected Diagnosis O36.5115 placental insufficiency, first trimester, fetus 5 ICD10CM
Page 53 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O36.5119] Maternal care for known or suspected Diagnosis O36.5119 placental insufficiency, first trimester, other fetus ICD10CM [O36.5120] Maternal care for known or suspected Pregnancy placental insufficiency, second trimester, not Diagnosis O36.5120 applicable or unspecified ICD10CM
Pregnancy [O36.5121] Maternal care for known or suspected Diagnosis O36.5121 placental insufficiency, second trimester, fetus 1 ICD10CM
Pregnancy [O36.5122] Maternal care for known or suspected Diagnosis O36.5122 placental insufficiency, second trimester, fetus 2 ICD10CM
Pregnancy [O36.5123] Maternal care for known or suspected Diagnosis O36.5123 placental insufficiency, second trimester, fetus 3 ICD10CM
Pregnancy [O36.5124] Maternal care for known or suspected Diagnosis O36.5124 placental insufficiency, second trimester, fetus 4 ICD10CM
Pregnancy [O36.5125] Maternal care for known or suspected Diagnosis O36.5125 placental insufficiency, second trimester, fetus 5 ICD10CM [O36.5129] Maternal care for known or suspected Pregnancy placental insufficiency, second trimester, other Diagnosis O36.5129 fetus ICD10CM [O36.5130] Maternal care for known or suspected Pregnancy placental insufficiency, third trimester, not Diagnosis O36.5130 applicable or unspecified ICD10CM
Pregnancy [O36.5131] Maternal care for known or suspected Diagnosis O36.5131 placental insufficiency, third trimester, fetus 1 ICD10CM
Pregnancy [O36.5132] Maternal care for known or suspected Diagnosis O36.5132 placental insufficiency, third trimester, fetus 2 ICD10CM
Pregnancy [O36.5133] Maternal care for known or suspected Diagnosis O36.5133 placental insufficiency, third trimester, fetus 3 ICD10CM
Pregnancy [O36.5134] Maternal care for known or suspected Diagnosis O36.5134 placental insufficiency, third trimester, fetus 4 ICD10CM
Pregnancy [O36.5135] Maternal care for known or suspected Diagnosis O36.5135 placental insufficiency, third trimester, fetus 5 ICD10CM
Pregnancy [O36.5139] Maternal care for known or suspected Diagnosis O36.5139 placental insufficiency, third trimester, other fetus ICD10CM
Page 54 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
[O36.5190] Maternal care for known or suspected Pregnancy placental insufficiency, unspecified trimester, not Diagnosis O36.5190 applicable or unspecified ICD10CM [O36.5191] Maternal care for known or suspected Pregnancy placental insufficiency, unspecified trimester, fetus Diagnosis O36.5191 1 ICD10CM [O36.5192] Maternal care for known or suspected Pregnancy placental insufficiency, unspecified trimester, fetus Diagnosis O36.5192 2 ICD10CM [O36.5193] Maternal care for known or suspected Pregnancy placental insufficiency, unspecified trimester, fetus Diagnosis O36.5193 3 ICD10CM [O36.5194] Maternal care for known or suspected Pregnancy placental insufficiency, unspecified trimester, fetus Diagnosis O36.5194 4 ICD10CM [O36.5195] Maternal care for known or suspected Pregnancy placental insufficiency, unspecified trimester, fetus Diagnosis O36.5195 5 ICD10CM [O36.5199] Maternal care for known or suspected Pregnancy placental insufficiency, unspecified trimester, other Diagnosis O36.5199 fetus ICD10CM [O36.5910] Maternal care for other known or Pregnancy suspected poor fetal growth, first trimester, not Diagnosis O36.5910 applicable or unspecified ICD10CM
Pregnancy [O36.5911] Maternal care for other known or Diagnosis O36.5911 suspected poor fetal growth, first trimester, fetus 1 ICD10CM
Pregnancy [O36.5912] Maternal care for other known or Diagnosis O36.5912 suspected poor fetal growth, first trimester, fetus 2 ICD10CM
Pregnancy [O36.5913] Maternal care for other known or Diagnosis O36.5913 suspected poor fetal growth, first trimester, fetus 3 ICD10CM
Pregnancy [O36.5914] Maternal care for other known or Diagnosis O36.5914 suspected poor fetal growth, first trimester, fetus 4 ICD10CM
Pregnancy [O36.5915] Maternal care for other known or Diagnosis O36.5915 suspected poor fetal growth, first trimester, fetus 5 ICD10CM [O36.5919] Maternal care for other known or Pregnancy suspected poor fetal growth, first trimester, other Diagnosis O36.5919 fetus ICD10CM [O36.5920] Maternal care for other known or Pregnancy suspected poor fetal growth, second trimester, not Diagnosis O36.5920 applicable or unspecified ICD10CM
Page 55 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O36.5921] Maternal care for other known or Pregnancy suspected poor fetal growth, second trimester, Diagnosis O36.5921 fetus 1 ICD10CM [O36.5922] Maternal care for other known or Pregnancy suspected poor fetal growth, second trimester, Diagnosis O36.5922 fetus 2 ICD10CM [O36.5923] Maternal care for other known or Pregnancy suspected poor fetal growth, second trimester, Diagnosis O36.5923 fetus 3 ICD10CM [O36.5924] Maternal care for other known or Pregnancy suspected poor fetal growth, second trimester, Diagnosis O36.5924 fetus 4 ICD10CM [O36.5925] Maternal care for other known or Pregnancy suspected poor fetal growth, second trimester, Diagnosis O36.5925 fetus 5 ICD10CM [O36.5929] Maternal care for other known or Pregnancy suspected poor fetal growth, second trimester, Diagnosis O36.5929 other fetus ICD10CM [O36.5930] Maternal care for other known or Pregnancy suspected poor fetal growth, third trimester, not Diagnosis O36.5930 applicable or unspecified ICD10CM
Pregnancy [O36.5931] Maternal care for other known or Diagnosis O36.5931 suspected poor fetal growth, third trimester, fetus 1 ICD10CM
Pregnancy [O36.5932] Maternal care for other known or Diagnosis O36.5932 suspected poor fetal growth, third trimester, fetus 2 ICD10CM
Pregnancy [O36.5933] Maternal care for other known or Diagnosis O36.5933 suspected poor fetal growth, third trimester, fetus 3 ICD10CM
Pregnancy [O36.5934] Maternal care for other known or Diagnosis O36.5934 suspected poor fetal growth, third trimester, fetus 4 ICD10CM
Pregnancy [O36.5935] Maternal care for other known or Diagnosis O36.5935 suspected poor fetal growth, third trimester, fetus 5 ICD10CM [O36.5939] Maternal care for other known or Pregnancy suspected poor fetal growth, third trimester, other Diagnosis O36.5939 fetus ICD10CM [O36.5990] Maternal care for other known or Pregnancy suspected poor fetal growth, unspecified trimester, Diagnosis O36.5990 not applicable or unspecified ICD10CM [O36.5991] Maternal care for other known or Pregnancy suspected poor fetal growth, unspecified trimester, Diagnosis O36.5991 fetus 1 ICD10CM [O36.5992] Maternal care for other known or Pregnancy suspected poor fetal growth, unspecified trimester, Diagnosis O36.5992 fetus 2 ICD10CM
Page 56 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O36.5993] Maternal care for other known or Pregnancy suspected poor fetal growth, unspecified trimester, Diagnosis O36.5993 fetus 3 ICD10CM [O36.5994] Maternal care for other known or Pregnancy suspected poor fetal growth, unspecified trimester, Diagnosis O36.5994 fetus 4 ICD10CM [O36.5995] Maternal care for other known or Pregnancy suspected poor fetal growth, unspecified trimester, Diagnosis O36.5995 fetus 5 ICD10CM [O36.5999] Maternal care for other known or Pregnancy suspected poor fetal growth, unspecified trimester, Diagnosis O36.5999 other fetus ICD10CM [O36.60X0] Maternal care for excessive fetal Pregnancy growth, unspecified trimester, not applicable or Diagnosis O36.60X0 unspecified ICD10CM Pregnancy [O36.60X1] Maternal care for excessive fetal Diagnosis O36.60X1 growth, unspecified trimester, fetus 1 ICD10CM Pregnancy [O36.60X2] Maternal care for excessive fetal Diagnosis O36.60X2 growth, unspecified trimester, fetus 2 ICD10CM Pregnancy [O36.60X3] Maternal care for excessive fetal Diagnosis O36.60X3 growth, unspecified trimester, fetus 3 ICD10CM Pregnancy [O36.60X4] Maternal care for excessive fetal Diagnosis O36.60X4 growth, unspecified trimester, fetus 4 ICD10CM Pregnancy [O36.60X5] Maternal care for excessive fetal Diagnosis O36.60X5 growth, unspecified trimester, fetus 5 ICD10CM Pregnancy [O36.60X9] Maternal care for excessive fetal Diagnosis O36.60X9 growth, unspecified trimester, other fetus ICD10CM [O36.61X0] Maternal care for excessive fetal Pregnancy growth, first trimester, not applicable or Diagnosis O36.61X0 unspecified ICD10CM Pregnancy [O36.61X1] Maternal care for excessive fetal Diagnosis O36.61X1 growth, first trimester, fetus 1 ICD10CM Pregnancy [O36.61X2] Maternal care for excessive fetal Diagnosis O36.61X2 growth, first trimester, fetus 2 ICD10CM Pregnancy [O36.61X3] Maternal care for excessive fetal Diagnosis O36.61X3 growth, first trimester, fetus 3 ICD10CM Pregnancy [O36.61X4] Maternal care for excessive fetal Diagnosis O36.61X4 growth, first trimester, fetus 4 ICD10CM Pregnancy [O36.61X5] Maternal care for excessive fetal Diagnosis O36.61X5 growth, first trimester, fetus 5 ICD10CM Pregnancy [O36.61X9] Maternal care for excessive fetal Diagnosis O36.61X9 growth, first trimester, other fetus ICD10CM [O36.62X0] Maternal care for excessive fetal Pregnancy growth, second trimester, not applicable or Diagnosis O36.62X0 unspecified ICD10CM Pregnancy [O36.62X1] Maternal care for excessive fetal Diagnosis O36.62X1 growth, second trimester, fetus 1 ICD10CM
Page 57 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.62X2] Maternal care for excessive fetal Diagnosis O36.62X2 growth, second trimester, fetus 2 ICD10CM Pregnancy [O36.62X3] Maternal care for excessive fetal Diagnosis O36.62X3 growth, second trimester, fetus 3 ICD10CM Pregnancy [O36.62X4] Maternal care for excessive fetal Diagnosis O36.62X4 growth, second trimester, fetus 4 ICD10CM Pregnancy [O36.62X5] Maternal care for excessive fetal Diagnosis O36.62X5 growth, second trimester, fetus 5 ICD10CM Pregnancy [O36.62X9] Maternal care for excessive fetal Diagnosis O36.62X9 growth, second trimester, other fetus ICD10CM [O36.63X0] Maternal care for excessive fetal Pregnancy growth, third trimester, not applicable or Diagnosis O36.63X0 unspecified ICD10CM Pregnancy [O36.63X1] Maternal care for excessive fetal Diagnosis O36.63X1 growth, third trimester, fetus 1 ICD10CM Pregnancy [O36.63X2] Maternal care for excessive fetal Diagnosis O36.63X2 growth, third trimester, fetus 2 ICD10CM Pregnancy [O36.63X3] Maternal care for excessive fetal Diagnosis O36.63X3 growth, third trimester, fetus 3 ICD10CM Pregnancy [O36.63X4] Maternal care for excessive fetal Diagnosis O36.63X4 growth, third trimester, fetus 4 ICD10CM Pregnancy [O36.63X5] Maternal care for excessive fetal Diagnosis O36.63X5 growth, third trimester, fetus 5 ICD10CM Pregnancy [O36.63X9] Maternal care for excessive fetal Diagnosis O36.63X9 growth, third trimester, other fetus ICD10CM [O36.70X0] Maternal care for viable fetus in Pregnancy abdominal pregnancy, unspecified trimester, not Diagnosis O36.70X0 applicable or unspecified ICD10CM
Pregnancy [O36.70X1] Maternal care for viable fetus in Diagnosis O36.70X1 abdominal pregnancy, unspecified trimester, fetus 1 ICD10CM
Pregnancy [O36.70X2] Maternal care for viable fetus in Diagnosis O36.70X2 abdominal pregnancy, unspecified trimester, fetus 2 ICD10CM
Pregnancy [O36.70X3] Maternal care for viable fetus in Diagnosis O36.70X3 abdominal pregnancy, unspecified trimester, fetus 3 ICD10CM
Pregnancy [O36.70X4] Maternal care for viable fetus in Diagnosis O36.70X4 abdominal pregnancy, unspecified trimester, fetus 4 ICD10CM
Pregnancy [O36.70X5] Maternal care for viable fetus in Diagnosis O36.70X5 abdominal pregnancy, unspecified trimester, fetus 5 ICD10CM [O36.70X9] Maternal care for viable fetus in Pregnancy abdominal pregnancy, unspecified trimester, other Diagnosis O36.70X9 fetus ICD10CM
Page 58 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O36.71X0] Maternal care for viable fetus in Pregnancy abdominal pregnancy, first trimester, not applicable Diagnosis O36.71X0 or unspecified ICD10CM Pregnancy [O36.71X1] Maternal care for viable fetus in Diagnosis O36.71X1 abdominal pregnancy, first trimester, fetus 1 ICD10CM Pregnancy [O36.71X2] Maternal care for viable fetus in Diagnosis O36.71X2 abdominal pregnancy, first trimester, fetus 2 ICD10CM Pregnancy [O36.71X3] Maternal care for viable fetus in Diagnosis O36.71X3 abdominal pregnancy, first trimester, fetus 3 ICD10CM Pregnancy [O36.71X4] Maternal care for viable fetus in Diagnosis O36.71X4 abdominal pregnancy, first trimester, fetus 4 ICD10CM Pregnancy [O36.71X5] Maternal care for viable fetus in Diagnosis O36.71X5 abdominal pregnancy, first trimester, fetus 5 ICD10CM
Pregnancy [O36.71X9] Maternal care for viable fetus in Diagnosis O36.71X9 abdominal pregnancy, first trimester, other fetus ICD10CM [O36.72X0] Maternal care for viable fetus in Pregnancy abdominal pregnancy, second trimester, not Diagnosis O36.72X0 applicable or unspecified ICD10CM
Pregnancy [O36.72X1] Maternal care for viable fetus in Diagnosis O36.72X1 abdominal pregnancy, second trimester, fetus 1 ICD10CM
Pregnancy [O36.72X2] Maternal care for viable fetus in Diagnosis O36.72X2 abdominal pregnancy, second trimester, fetus 2 ICD10CM
Pregnancy [O36.72X3] Maternal care for viable fetus in Diagnosis O36.72X3 abdominal pregnancy, second trimester, fetus 3 ICD10CM
Pregnancy [O36.72X4] Maternal care for viable fetus in Diagnosis O36.72X4 abdominal pregnancy, second trimester, fetus 4 ICD10CM
Pregnancy [O36.72X5] Maternal care for viable fetus in Diagnosis O36.72X5 abdominal pregnancy, second trimester, fetus 5 ICD10CM
Pregnancy [O36.72X9] Maternal care for viable fetus in Diagnosis O36.72X9 abdominal pregnancy, second trimester, other fetus ICD10CM [O36.73X0] Maternal care for viable fetus in Pregnancy abdominal pregnancy, third trimester, not Diagnosis O36.73X0 applicable or unspecified ICD10CM Pregnancy [O36.73X1] Maternal care for viable fetus in Diagnosis O36.73X1 abdominal pregnancy, third trimester, fetus 1 ICD10CM Pregnancy [O36.73X2] Maternal care for viable fetus in Diagnosis O36.73X2 abdominal pregnancy, third trimester, fetus 2 ICD10CM Pregnancy [O36.73X3] Maternal care for viable fetus in Diagnosis O36.73X3 abdominal pregnancy, third trimester, fetus 3 ICD10CM Pregnancy [O36.73X4] Maternal care for viable fetus in Diagnosis O36.73X4 abdominal pregnancy, third trimester, fetus 4 ICD10CM
Page 59 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.73X5] Maternal care for viable fetus in Diagnosis O36.73X5 abdominal pregnancy, third trimester, fetus 5 ICD10CM
Pregnancy [O36.73X9] Maternal care for viable fetus in Diagnosis O36.73X9 abdominal pregnancy, third trimester, other fetus ICD10CM Pregnancy [O36.80X0] Pregnancy with inconclusive fetal Diagnosis O36.80X0 viability, not applicable or unspecified ICD10CM Pregnancy [O36.80X1] Pregnancy with inconclusive fetal Diagnosis O36.80X1 viability, fetus 1 ICD10CM Pregnancy [O36.80X2] Pregnancy with inconclusive fetal Diagnosis O36.80X2 viability, fetus 2 ICD10CM Pregnancy [O36.80X3] Pregnancy with inconclusive fetal Diagnosis O36.80X3 viability, fetus 3 ICD10CM Pregnancy [O36.80X4] Pregnancy with inconclusive fetal Diagnosis O36.80X4 viability, fetus 4 ICD10CM Pregnancy [O36.80X5] Pregnancy with inconclusive fetal Diagnosis O36.80X5 viability, fetus 5 ICD10CM Pregnancy [O36.80X9] Pregnancy with inconclusive fetal Diagnosis O36.80X9 viability, other fetus ICD10CM
Pregnancy [O36.8120] Decreased fetal movements, second Diagnosis O36.8120 trimester, not applicable or unspecified ICD10CM Pregnancy [O36.8121] Decreased fetal movements, second Diagnosis O36.8121 trimester, fetus 1 ICD10CM Pregnancy [O36.8122] Decreased fetal movements, second Diagnosis O36.8122 trimester, fetus 2 ICD10CM Pregnancy [O36.8123] Decreased fetal movements, second Diagnosis O36.8123 trimester, fetus 3 ICD10CM Pregnancy [O36.8124] Decreased fetal movements, second Diagnosis O36.8124 trimester, fetus 4 ICD10CM Pregnancy [O36.8125] Decreased fetal movements, second Diagnosis O36.8125 trimester, fetus 5 ICD10CM Pregnancy [O36.8129] Decreased fetal movements, second Diagnosis O36.8129 trimester, other fetus ICD10CM Pregnancy [O36.8130] Decreased fetal movements, third Diagnosis O36.8130 trimester, not applicable or unspecified ICD10CM Pregnancy [O36.8131] Decreased fetal movements, third Diagnosis O36.8131 trimester, fetus 1 ICD10CM Pregnancy [O36.8132] Decreased fetal movements, third Diagnosis O36.8132 trimester, fetus 2 ICD10CM Pregnancy [O36.8133] Decreased fetal movements, third Diagnosis O36.8133 trimester, fetus 3 ICD10CM Pregnancy [O36.8134] Decreased fetal movements, third Diagnosis O36.8134 trimester, fetus 4 ICD10CM Pregnancy [O36.8135] Decreased fetal movements, third Diagnosis O36.8135 trimester, fetus 5 ICD10CM Pregnancy [O36.8139] Decreased fetal movements, third Diagnosis O36.8139 trimester, other fetus ICD10CM
Page 60 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O36.8190] Decreased fetal movements, Diagnosis O36.8190 unspecified trimester, not applicable or unspecified ICD10CM Pregnancy [O36.8191] Decreased fetal movements, Diagnosis O36.8191 unspecified trimester, fetus 1 ICD10CM Pregnancy [O36.8192] Decreased fetal movements, Diagnosis O36.8192 unspecified trimester, fetus 2 ICD10CM Pregnancy [O36.8193] Decreased fetal movements, Diagnosis O36.8193 unspecified trimester, fetus 3 ICD10CM Pregnancy [O36.8194] Decreased fetal movements, Diagnosis O36.8194 unspecified trimester, fetus 4 ICD10CM Pregnancy [O36.8195] Decreased fetal movements, Diagnosis O36.8195 unspecified trimester, fetus 5 ICD10CM Pregnancy [O36.8199] Decreased fetal movements, Diagnosis O36.8199 unspecified trimester, other fetus ICD10CM
Pregnancy [O36.8210] Fetal anemia and thrombocytopenia, Diagnosis O36.8210 first trimester, not applicable or unspecified ICD10CM Pregnancy [O36.8211] Fetal anemia and thrombocytopenia, Diagnosis O36.8211 first trimester, fetus 1 ICD10CM Pregnancy [O36.8212] Fetal anemia and thrombocytopenia, Diagnosis O36.8212 first trimester, fetus 2 ICD10CM Pregnancy [O36.8213] Fetal anemia and thrombocytopenia, Diagnosis O36.8213 first trimester, fetus 3 ICD10CM Pregnancy [O36.8214] Fetal anemia and thrombocytopenia, Diagnosis O36.8214 first trimester, fetus 4 ICD10CM Pregnancy [O36.8215] Fetal anemia and thrombocytopenia, Diagnosis O36.8215 first trimester, fetus 5 ICD10CM Pregnancy [O36.8219] Fetal anemia and thrombocytopenia, Diagnosis O36.8219 first trimester, other fetus ICD10CM
Pregnancy [O36.8220] Fetal anemia and thrombocytopenia, Diagnosis O36.8220 second trimester, not applicable or unspecified ICD10CM Pregnancy [O36.8221] Fetal anemia and thrombocytopenia, Diagnosis O36.8221 second trimester, fetus 1 ICD10CM Pregnancy [O36.8222] Fetal anemia and thrombocytopenia, Diagnosis O36.8222 second trimester, fetus 2 ICD10CM Pregnancy [O36.8223] Fetal anemia and thrombocytopenia, Diagnosis O36.8223 second trimester, fetus 3 ICD10CM Pregnancy [O36.8224] Fetal anemia and thrombocytopenia, Diagnosis O36.8224 second trimester, fetus 4 ICD10CM Pregnancy [O36.8225] Fetal anemia and thrombocytopenia, Diagnosis O36.8225 second trimester, fetus 5 ICD10CM
Pregnancy [O36.8229] Fetal anemia and thrombocytopenia, Diagnosis O36.8229 second trimester, other fetus ICD10CM
Page 61 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O36.8230] Fetal anemia and thrombocytopenia, Diagnosis O36.8230 third trimester, not applicable or unspecified ICD10CM Pregnancy [O36.8231] Fetal anemia and thrombocytopenia, Diagnosis O36.8231 third trimester, fetus 1 ICD10CM Pregnancy [O36.8232] Fetal anemia and thrombocytopenia, Diagnosis O36.8232 third trimester, fetus 2 ICD10CM Pregnancy [O36.8233] Fetal anemia and thrombocytopenia, Diagnosis O36.8233 third trimester, fetus 3 ICD10CM Pregnancy [O36.8234] Fetal anemia and thrombocytopenia, Diagnosis O36.8234 third trimester, fetus 4 ICD10CM Pregnancy [O36.8235] Fetal anemia and thrombocytopenia, Diagnosis O36.8235 third trimester, fetus 5 ICD10CM
Pregnancy [O36.8239] Fetal anemia and thrombocytopenia, Diagnosis O36.8239 third trimester, other fetus ICD10CM
Pregnancy [O36.8290] Fetal anemia and thrombocytopenia, Diagnosis O36.8290 unspecified trimester, not applicable or unspecified ICD10CM
Pregnancy [O36.8291] Fetal anemia and thrombocytopenia, Diagnosis O36.8291 unspecified trimester, fetus 1 ICD10CM
Pregnancy [O36.8292] Fetal anemia and thrombocytopenia, Diagnosis O36.8292 unspecified trimester, fetus 2 ICD10CM
Pregnancy [O36.8293] Fetal anemia and thrombocytopenia, Diagnosis O36.8293 unspecified trimester, fetus 3 ICD10CM
Pregnancy [O36.8294] Fetal anemia and thrombocytopenia, Diagnosis O36.8294 unspecified trimester, fetus 4 ICD10CM
Pregnancy [O36.8295] Fetal anemia and thrombocytopenia, Diagnosis O36.8295 unspecified trimester, fetus 5 ICD10CM
Pregnancy [O36.8299] Fetal anemia and thrombocytopenia, Diagnosis O36.8299 unspecified trimester, other fetus ICD10CM [O36.8310] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, first trimester, not Diagnosis O36.8310 applicable or unspecified ICD10CM
Pregnancy [O36.8311] Maternal care for abnormalities of the Diagnosis O36.8311 fetal heart rate or rhythm, first trimester, fetus 1 ICD10CM
Pregnancy [O36.8312] Maternal care for abnormalities of the Diagnosis O36.8312 fetal heart rate or rhythm, first trimester, fetus 2 ICD10CM
Page 62 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O36.8313] Maternal care for abnormalities of the Diagnosis O36.8313 fetal heart rate or rhythm, first trimester, fetus 3 ICD10CM
Pregnancy [O36.8314] Maternal care for abnormalities of the Diagnosis O36.8314 fetal heart rate or rhythm, first trimester, fetus 4 ICD10CM
Pregnancy [O36.8315] Maternal care for abnormalities of the Diagnosis O36.8315 fetal heart rate or rhythm, first trimester, fetus 5 ICD10CM [O36.8319] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, first trimester, other Diagnosis O36.8319 fetus ICD10CM [O36.8320] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, second trimester, not Diagnosis O36.8320 applicable or unspecified ICD10CM
Pregnancy [O36.8321] Maternal care for abnormalities of the Diagnosis O36.8321 fetal heart rate or rhythm, second trimester, fetus 1 ICD10CM
Pregnancy [O36.8322] Maternal care for abnormalities of the Diagnosis O36.8322 fetal heart rate or rhythm, second trimester, fetus 2 ICD10CM
Pregnancy [O36.8323] Maternal care for abnormalities of the Diagnosis O36.8323 fetal heart rate or rhythm, second trimester, fetus 3 ICD10CM
Pregnancy [O36.8324] Maternal care for abnormalities of the Diagnosis O36.8324 fetal heart rate or rhythm, second trimester, fetus 4 ICD10CM
Pregnancy [O36.8325] Maternal care for abnormalities of the Diagnosis O36.8325 fetal heart rate or rhythm, second trimester, fetus 5 ICD10CM [O36.8329] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, second trimester, other Diagnosis O36.8329 fetus ICD10CM [O36.8330] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, third trimester, not Diagnosis O36.8330 applicable or unspecified ICD10CM
Pregnancy [O36.8331] Maternal care for abnormalities of the Diagnosis O36.8331 fetal heart rate or rhythm, third trimester, fetus 1 ICD10CM
Pregnancy [O36.8332] Maternal care for abnormalities of the Diagnosis O36.8332 fetal heart rate or rhythm, third trimester, fetus 2 ICD10CM
Pregnancy [O36.8333] Maternal care for abnormalities of the Diagnosis O36.8333 fetal heart rate or rhythm, third trimester, fetus 3 ICD10CM
Pregnancy [O36.8334] Maternal care for abnormalities of the Diagnosis O36.8334 fetal heart rate or rhythm, third trimester, fetus 4 ICD10CM
Page 63 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O36.8335] Maternal care for abnormalities of the Diagnosis O36.8335 fetal heart rate or rhythm, third trimester, fetus 5 ICD10CM [O36.8339] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, third trimester, other Diagnosis O36.8339 fetus ICD10CM [O36.8390] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, unspecified trimester, Diagnosis O36.8390 not applicable or unspecified ICD10CM [O36.8391] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, unspecified trimester, Diagnosis O36.8391 fetus 1 ICD10CM [O36.8392] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, unspecified trimester, Diagnosis O36.8392 fetus 2 ICD10CM [O36.8393] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, unspecified trimester, Diagnosis O36.8393 fetus 3 ICD10CM [O36.8394] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, unspecified trimester, Diagnosis O36.8394 fetus 4 ICD10CM [O36.8395] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, unspecified trimester, Diagnosis O36.8395 fetus 5 ICD10CM [O36.8399] Maternal care for abnormalities of the Pregnancy fetal heart rate or rhythm, unspecified trimester, Diagnosis O36.8399 other fetus ICD10CM [O36.8910] Maternal care for other specified fetal Pregnancy problems, first trimester, not applicable or Diagnosis O36.8910 unspecified ICD10CM Pregnancy [O36.8911] Maternal care for other specified fetal Diagnosis O36.8911 problems, first trimester, fetus 1 ICD10CM Pregnancy [O36.8912] Maternal care for other specified fetal Diagnosis O36.8912 problems, first trimester, fetus 2 ICD10CM Pregnancy [O36.8913] Maternal care for other specified fetal Diagnosis O36.8913 problems, first trimester, fetus 3 ICD10CM Pregnancy [O36.8914] Maternal care for other specified fetal Diagnosis O36.8914 problems, first trimester, fetus 4 ICD10CM Pregnancy [O36.8915] Maternal care for other specified fetal Diagnosis O36.8915 problems, first trimester, fetus 5 ICD10CM Pregnancy [O36.8919] Maternal care for other specified fetal Diagnosis O36.8919 problems, first trimester, other fetus ICD10CM [O36.8920] Maternal care for other specified fetal Pregnancy problems, second trimester, not applicable or Diagnosis O36.8920 unspecified ICD10CM Pregnancy [O36.8921] Maternal care for other specified fetal Diagnosis O36.8921 problems, second trimester, fetus 1 ICD10CM
Page 64 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.8922] Maternal care for other specified fetal Diagnosis O36.8922 problems, second trimester, fetus 2 ICD10CM Pregnancy [O36.8923] Maternal care for other specified fetal Diagnosis O36.8923 problems, second trimester, fetus 3 ICD10CM Pregnancy [O36.8924] Maternal care for other specified fetal Diagnosis O36.8924 problems, second trimester, fetus 4 ICD10CM Pregnancy [O36.8925] Maternal care for other specified fetal Diagnosis O36.8925 problems, second trimester, fetus 5 ICD10CM Pregnancy [O36.8929] Maternal care for other specified fetal Diagnosis O36.8929 problems, second trimester, other fetus ICD10CM [O36.8930] Maternal care for other specified fetal Pregnancy problems, third trimester, not applicable or Diagnosis O36.8930 unspecified ICD10CM Pregnancy [O36.8931] Maternal care for other specified fetal Diagnosis O36.8931 problems, third trimester, fetus 1 ICD10CM Pregnancy [O36.8932] Maternal care for other specified fetal Diagnosis O36.8932 problems, third trimester, fetus 2 ICD10CM Pregnancy [O36.8933] Maternal care for other specified fetal Diagnosis O36.8933 problems, third trimester, fetus 3 ICD10CM Pregnancy [O36.8934] Maternal care for other specified fetal Diagnosis O36.8934 problems, third trimester, fetus 4 ICD10CM Pregnancy [O36.8935] Maternal care for other specified fetal Diagnosis O36.8935 problems, third trimester, fetus 5 ICD10CM Pregnancy [O36.8939] Maternal care for other specified fetal Diagnosis O36.8939 problems, third trimester, other fetus ICD10CM [O36.8990] Maternal care for other specified fetal Pregnancy problems, unspecified trimester, not applicable or Diagnosis O36.8990 unspecified ICD10CM Pregnancy [O36.8991] Maternal care for other specified fetal Diagnosis O36.8991 problems, unspecified trimester, fetus 1 ICD10CM Pregnancy [O36.8992] Maternal care for other specified fetal Diagnosis O36.8992 problems, unspecified trimester, fetus 2 ICD10CM Pregnancy [O36.8993] Maternal care for other specified fetal Diagnosis O36.8993 problems, unspecified trimester, fetus 3 ICD10CM Pregnancy [O36.8994] Maternal care for other specified fetal Diagnosis O36.8994 problems, unspecified trimester, fetus 4 ICD10CM Pregnancy [O36.8995] Maternal care for other specified fetal Diagnosis O36.8995 problems, unspecified trimester, fetus 5 ICD10CM
Pregnancy [O36.8999] Maternal care for other specified fetal Diagnosis O36.8999 problems, unspecified trimester, other fetus ICD10CM [O36.90X0] Maternal care for fetal problem, Pregnancy unspecified, unspecified trimester, not applicable or Diagnosis O36.90X0 unspecified ICD10CM Pregnancy [O36.90X1] Maternal care for fetal problem, Diagnosis O36.90X1 unspecified, unspecified trimester, fetus 1 ICD10CM Pregnancy [O36.90X2] Maternal care for fetal problem, Diagnosis O36.90X2 unspecified, unspecified trimester, fetus 2 ICD10CM
Page 65 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.90X3] Maternal care for fetal problem, Diagnosis O36.90X3 unspecified, unspecified trimester, fetus 3 ICD10CM Pregnancy [O36.90X4] Maternal care for fetal problem, Diagnosis O36.90X4 unspecified, unspecified trimester, fetus 4 ICD10CM Pregnancy [O36.90X5] Maternal care for fetal problem, Diagnosis O36.90X5 unspecified, unspecified trimester, fetus 5 ICD10CM
Pregnancy [O36.90X9] Maternal care for fetal problem, Diagnosis O36.90X9 unspecified, unspecified trimester, other fetus ICD10CM [O36.91X0] Maternal care for fetal problem, Pregnancy unspecified, first trimester, not applicable or Diagnosis O36.91X0 unspecified ICD10CM Pregnancy [O36.91X1] Maternal care for fetal problem, Diagnosis O36.91X1 unspecified, first trimester, fetus 1 ICD10CM Pregnancy [O36.91X2] Maternal care for fetal problem, Diagnosis O36.91X2 unspecified, first trimester, fetus 2 ICD10CM Pregnancy [O36.91X3] Maternal care for fetal problem, Diagnosis O36.91X3 unspecified, first trimester, fetus 3 ICD10CM Pregnancy [O36.91X4] Maternal care for fetal problem, Diagnosis O36.91X4 unspecified, first trimester, fetus 4 ICD10CM Pregnancy [O36.91X5] Maternal care for fetal problem, Diagnosis O36.91X5 unspecified, first trimester, fetus 5 ICD10CM Pregnancy [O36.91X9] Maternal care for fetal problem, Diagnosis O36.91X9 unspecified, first trimester, other fetus ICD10CM [O36.92X0] Maternal care for fetal problem, Pregnancy unspecified, second trimester, not applicable or Diagnosis O36.92X0 unspecified ICD10CM Pregnancy [O36.92X1] Maternal care for fetal problem, Diagnosis O36.92X1 unspecified, second trimester, fetus 1 ICD10CM Pregnancy [O36.92X2] Maternal care for fetal problem, Diagnosis O36.92X2 unspecified, second trimester, fetus 2 ICD10CM Pregnancy [O36.92X3] Maternal care for fetal problem, Diagnosis O36.92X3 unspecified, second trimester, fetus 3 ICD10CM Pregnancy [O36.92X4] Maternal care for fetal problem, Diagnosis O36.92X4 unspecified, second trimester, fetus 4 ICD10CM Pregnancy [O36.92X5] Maternal care for fetal problem, Diagnosis O36.92X5 unspecified, second trimester, fetus 5 ICD10CM Pregnancy [O36.92X9] Maternal care for fetal problem, Diagnosis O36.92X9 unspecified, second trimester, other fetus ICD10CM [O36.93X0] Maternal care for fetal problem, Pregnancy unspecified, third trimester, not applicable or Diagnosis O36.93X0 unspecified ICD10CM Pregnancy [O36.93X1] Maternal care for fetal problem, Diagnosis O36.93X1 unspecified, third trimester, fetus 1 ICD10CM Pregnancy [O36.93X2] Maternal care for fetal problem, Diagnosis O36.93X2 unspecified, third trimester, fetus 2 ICD10CM Pregnancy [O36.93X3] Maternal care for fetal problem, Diagnosis O36.93X3 unspecified, third trimester, fetus 3 ICD10CM
Page 66 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O36.93X4] Maternal care for fetal problem, Diagnosis O36.93X4 unspecified, third trimester, fetus 4 ICD10CM Pregnancy [O36.93X5] Maternal care for fetal problem, Diagnosis O36.93X5 unspecified, third trimester, fetus 5 ICD10CM Pregnancy [O36.93X9] Maternal care for fetal problem, Diagnosis O36.93X9 unspecified, third trimester, other fetus ICD10CM Pregnancy [O40.1XX0] Polyhydramnios, first trimester, not Diagnosis O40.1XX0 applicable or unspecified ICD10CM Pregnancy Diagnosis O40.1XX1 [O40.1XX1] Polyhydramnios, first trimester, fetus 1 ICD10CM Pregnancy Diagnosis O40.1XX2 [O40.1XX2] Polyhydramnios, first trimester, fetus 2 ICD10CM Pregnancy Diagnosis O40.1XX3 [O40.1XX3] Polyhydramnios, first trimester, fetus 3 ICD10CM Pregnancy Diagnosis O40.1XX4 [O40.1XX4] Polyhydramnios, first trimester, fetus 4 ICD10CM Pregnancy Diagnosis O40.1XX5 [O40.1XX5] Polyhydramnios, first trimester, fetus 5 ICD10CM Pregnancy [O40.1XX9] Polyhydramnios, first trimester, other Diagnosis O40.1XX9 fetus ICD10CM Pregnancy [O40.2XX0] Polyhydramnios, second trimester, not Diagnosis O40.2XX0 applicable or unspecified ICD10CM Pregnancy [O40.2XX1] Polyhydramnios, second trimester, Diagnosis O40.2XX1 fetus 1 ICD10CM Pregnancy [O40.2XX2] Polyhydramnios, second trimester, Diagnosis O40.2XX2 fetus 2 ICD10CM Pregnancy [O40.2XX3] Polyhydramnios, second trimester, Diagnosis O40.2XX3 fetus 3 ICD10CM Pregnancy [O40.2XX4] Polyhydramnios, second trimester, Diagnosis O40.2XX4 fetus 4 ICD10CM Pregnancy [O40.2XX5] Polyhydramnios, second trimester, Diagnosis O40.2XX5 fetus 5 ICD10CM Pregnancy [O40.2XX9] Polyhydramnios, second trimester, Diagnosis O40.2XX9 other fetus ICD10CM Pregnancy [O40.3XX0] Polyhydramnios, third trimester, not Diagnosis O40.3XX0 applicable or unspecified ICD10CM Pregnancy Diagnosis O40.3XX1 [O40.3XX1] Polyhydramnios, third trimester, fetus 1 ICD10CM Pregnancy Diagnosis O40.3XX2 [O40.3XX2] Polyhydramnios, third trimester, fetus 2 ICD10CM Pregnancy Diagnosis O40.3XX3 [O40.3XX3] Polyhydramnios, third trimester, fetus 3 ICD10CM Pregnancy Diagnosis O40.3XX4 [O40.3XX4] Polyhydramnios, third trimester, fetus 4 ICD10CM Pregnancy Diagnosis O40.3XX5 [O40.3XX5] Polyhydramnios, third trimester, fetus 5 ICD10CM Pregnancy [O40.3XX9] Polyhydramnios, third trimester, other Diagnosis O40.3XX9 fetus ICD10CM
Page 67 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O40.9XX0] Polyhydramnios, unspecified trimester, Diagnosis O40.9XX0 not applicable or unspecified ICD10CM Pregnancy [O40.9XX1] Polyhydramnios, unspecified trimester, Diagnosis O40.9XX1 fetus 1 ICD10CM Pregnancy [O40.9XX2] Polyhydramnios, unspecified trimester, Diagnosis O40.9XX2 fetus 2 ICD10CM Pregnancy [O40.9XX3] Polyhydramnios, unspecified trimester, Diagnosis O40.9XX3 fetus 3 ICD10CM Pregnancy [O40.9XX4] Polyhydramnios, unspecified trimester, Diagnosis O40.9XX4 fetus 4 ICD10CM Pregnancy [O40.9XX5] Polyhydramnios, unspecified trimester, Diagnosis O40.9XX5 fetus 5 ICD10CM Pregnancy [O40.9XX9] Polyhydramnios, unspecified trimester, Diagnosis O40.9XX9 other fetus ICD10CM Pregnancy [O41.00X0] Oligohydramnios, unspecified trimester, Diagnosis O41.00X0 not applicable or unspecified ICD10CM Pregnancy [O41.00X1] Oligohydramnios, unspecified trimester, Diagnosis O41.00X1 fetus 1 ICD10CM Pregnancy [O41.00X2] Oligohydramnios, unspecified trimester, Diagnosis O41.00X2 fetus 2 ICD10CM Pregnancy [O41.00X3] Oligohydramnios, unspecified trimester, Diagnosis O41.00X3 fetus 3 ICD10CM Pregnancy [O41.00X4] Oligohydramnios, unspecified trimester, Diagnosis O41.00X4 fetus 4 ICD10CM Pregnancy [O41.00X5] Oligohydramnios, unspecified trimester, Diagnosis O41.00X5 fetus 5 ICD10CM Pregnancy [O41.00X9] Oligohydramnios, unspecified trimester, Diagnosis O41.00X9 other fetus ICD10CM Pregnancy [O41.01X0] Oligohydramnios, first trimester, not Diagnosis O41.01X0 applicable or unspecified ICD10CM Pregnancy Diagnosis O41.01X1 [O41.01X1] Oligohydramnios, first trimester, fetus 1 ICD10CM Pregnancy Diagnosis O41.01X2 [O41.01X2] Oligohydramnios, first trimester, fetus 2 ICD10CM Pregnancy Diagnosis O41.01X3 [O41.01X3] Oligohydramnios, first trimester, fetus 3 ICD10CM Pregnancy Diagnosis O41.01X4 [O41.01X4] Oligohydramnios, first trimester, fetus 4 ICD10CM Pregnancy Diagnosis O41.01X5 [O41.01X5] Oligohydramnios, first trimester, fetus 5 ICD10CM Pregnancy [O41.01X9] Oligohydramnios, first trimester, other Diagnosis O41.01X9 fetus ICD10CM Pregnancy [O41.02X0] Oligohydramnios, second trimester, not Diagnosis O41.02X0 applicable or unspecified ICD10CM Pregnancy [O41.02X1] Oligohydramnios, second trimester, Diagnosis O41.02X1 fetus 1 ICD10CM Pregnancy [O41.02X2] Oligohydramnios, second trimester, Diagnosis O41.02X2 fetus 2 ICD10CM
Page 68 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O41.02X3] Oligohydramnios, second trimester, Diagnosis O41.02X3 fetus 3 ICD10CM Pregnancy [O41.02X4] Oligohydramnios, second trimester, Diagnosis O41.02X4 fetus 4 ICD10CM Pregnancy [O41.02X5] Oligohydramnios, second trimester, Diagnosis O41.02X5 fetus 5 ICD10CM Pregnancy [O41.02X9] Oligohydramnios, second trimester, Diagnosis O41.02X9 other fetus ICD10CM Pregnancy [O41.03X0] Oligohydramnios, third trimester, not Diagnosis O41.03X0 applicable or unspecified ICD10CM Pregnancy [O41.03X1] Oligohydramnios, third trimester, fetus Diagnosis O41.03X1 1 ICD10CM Pregnancy [O41.03X2] Oligohydramnios, third trimester, fetus Diagnosis O41.03X2 2 ICD10CM Pregnancy [O41.03X3] Oligohydramnios, third trimester, fetus Diagnosis O41.03X3 3 ICD10CM Pregnancy [O41.03X4] Oligohydramnios, third trimester, fetus Diagnosis O41.03X4 4 ICD10CM Pregnancy [O41.03X5] Oligohydramnios, third trimester, fetus Diagnosis O41.03X5 5 ICD10CM Pregnancy [O41.03X9] Oligohydramnios, third trimester, other Diagnosis O41.03X9 fetus ICD10CM [O41.1010] Infection of amniotic sac and Pregnancy membranes, unspecified, first trimester, not Diagnosis O41.1010 applicable or unspecified ICD10CM
Pregnancy [O41.1011] Infection of amniotic sac and Diagnosis O41.1011 membranes, unspecified, first trimester, fetus 1 ICD10CM
Pregnancy [O41.1012] Infection of amniotic sac and Diagnosis O41.1012 membranes, unspecified, first trimester, fetus 2 ICD10CM
Pregnancy [O41.1013] Infection of amniotic sac and Diagnosis O41.1013 membranes, unspecified, first trimester, fetus 3 ICD10CM
Pregnancy [O41.1014] Infection of amniotic sac and Diagnosis O41.1014 membranes, unspecified, first trimester, fetus 4 ICD10CM
Pregnancy [O41.1015] Infection of amniotic sac and Diagnosis O41.1015 membranes, unspecified, first trimester, fetus 5 ICD10CM
Pregnancy [O41.1019] Infection of amniotic sac and Diagnosis O41.1019 membranes, unspecified, first trimester, other fetus ICD10CM [O41.1020] Infection of amniotic sac and Pregnancy membranes, unspecified, second trimester, not Diagnosis O41.1020 applicable or unspecified ICD10CM
Page 69 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O41.1021] Infection of amniotic sac and Diagnosis O41.1021 membranes, unspecified, second trimester, fetus 1 ICD10CM
Pregnancy [O41.1022] Infection of amniotic sac and Diagnosis O41.1022 membranes, unspecified, second trimester, fetus 2 ICD10CM
Pregnancy [O41.1023] Infection of amniotic sac and Diagnosis O41.1023 membranes, unspecified, second trimester, fetus 3 ICD10CM
Pregnancy [O41.1024] Infection of amniotic sac and Diagnosis O41.1024 membranes, unspecified, second trimester, fetus 4 ICD10CM
Pregnancy [O41.1025] Infection of amniotic sac and Diagnosis O41.1025 membranes, unspecified, second trimester, fetus 5 ICD10CM [O41.1029] Infection of amniotic sac and Pregnancy membranes, unspecified, second trimester, other Diagnosis O41.1029 fetus ICD10CM [O41.1030] Infection of amniotic sac and Pregnancy membranes, unspecified, third trimester, not Diagnosis O41.1030 applicable or unspecified ICD10CM
Pregnancy [O41.1031] Infection of amniotic sac and Diagnosis O41.1031 membranes, unspecified, third trimester, fetus 1 ICD10CM
Pregnancy [O41.1032] Infection of amniotic sac and Diagnosis O41.1032 membranes, unspecified, third trimester, fetus 2 ICD10CM
Pregnancy [O41.1033] Infection of amniotic sac and Diagnosis O41.1033 membranes, unspecified, third trimester, fetus 3 ICD10CM
Pregnancy [O41.1034] Infection of amniotic sac and Diagnosis O41.1034 membranes, unspecified, third trimester, fetus 4 ICD10CM
Pregnancy [O41.1035] Infection of amniotic sac and Diagnosis O41.1035 membranes, unspecified, third trimester, fetus 5 ICD10CM [O41.1039] Infection of amniotic sac and Pregnancy membranes, unspecified, third trimester, other Diagnosis O41.1039 fetus ICD10CM [O41.1090] Infection of amniotic sac and Pregnancy membranes, unspecified, unspecified trimester, not Diagnosis O41.1090 applicable or unspecified ICD10CM [O41.1091] Infection of amniotic sac and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.1091 fetus 1 ICD10CM [O41.1092] Infection of amniotic sac and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.1092 fetus 2 ICD10CM
Page 70 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O41.1093] Infection of amniotic sac and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.1093 fetus 3 ICD10CM [O41.1094] Infection of amniotic sac and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.1094 fetus 4 ICD10CM [O41.1095] Infection of amniotic sac and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.1095 fetus 5 ICD10CM [O41.1099] Infection of amniotic sac and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.1099 other fetus ICD10CM Pregnancy [O41.1210] Chorioamnionitis, first trimester, not Diagnosis O41.1210 applicable or unspecified ICD10CM Pregnancy Diagnosis O41.1211 [O41.1211] Chorioamnionitis, first trimester, fetus 1 ICD10CM Pregnancy Diagnosis O41.1212 [O41.1212] Chorioamnionitis, first trimester, fetus 2 ICD10CM Pregnancy Diagnosis O41.1213 [O41.1213] Chorioamnionitis, first trimester, fetus 3 ICD10CM Pregnancy Diagnosis O41.1214 [O41.1214] Chorioamnionitis, first trimester, fetus 4 ICD10CM Pregnancy Diagnosis O41.1215 [O41.1215] Chorioamnionitis, first trimester, fetus 5 ICD10CM Pregnancy [O41.1219] Chorioamnionitis, first trimester, other Diagnosis O41.1219 fetus ICD10CM Pregnancy [O41.1220] Chorioamnionitis, second trimester, not Diagnosis O41.1220 applicable or unspecified ICD10CM Pregnancy [O41.1221] Chorioamnionitis, second trimester, Diagnosis O41.1221 fetus 1 ICD10CM Pregnancy [O41.1222] Chorioamnionitis, second trimester, Diagnosis O41.1222 fetus 2 ICD10CM Pregnancy [O41.1223] Chorioamnionitis, second trimester, Diagnosis O41.1223 fetus 3 ICD10CM Pregnancy [O41.1224] Chorioamnionitis, second trimester, Diagnosis O41.1224 fetus 4 ICD10CM Pregnancy [O41.1225] Chorioamnionitis, second trimester, Diagnosis O41.1225 fetus 5 ICD10CM Pregnancy [O41.1229] Chorioamnionitis, second trimester, Diagnosis O41.1229 other fetus ICD10CM Pregnancy [O41.1230] Chorioamnionitis, third trimester, not Diagnosis O41.1230 applicable or unspecified ICD10CM Pregnancy [O41.1231] Chorioamnionitis, third trimester, fetus Diagnosis O41.1231 1 ICD10CM Pregnancy [O41.1232] Chorioamnionitis, third trimester, fetus Diagnosis O41.1232 2 ICD10CM Pregnancy [O41.1233] Chorioamnionitis, third trimester, fetus Diagnosis O41.1233 3 ICD10CM
Page 71 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O41.1234] Chorioamnionitis, third trimester, fetus Diagnosis O41.1234 4 ICD10CM Pregnancy [O41.1235] Chorioamnionitis, third trimester, fetus Diagnosis O41.1235 5 ICD10CM Pregnancy [O41.1239] Chorioamnionitis, third trimester, other Diagnosis O41.1239 fetus ICD10CM Pregnancy [O41.1290] Chorioamnionitis, unspecified trimester, Diagnosis O41.1290 not applicable or unspecified ICD10CM Pregnancy [O41.1291] Chorioamnionitis, unspecified trimester, Diagnosis O41.1291 fetus 1 ICD10CM Pregnancy [O41.1292] Chorioamnionitis, unspecified trimester, Diagnosis O41.1292 fetus 2 ICD10CM Pregnancy [O41.1293] Chorioamnionitis, unspecified trimester, Diagnosis O41.1293 fetus 3 ICD10CM Pregnancy [O41.1294] Chorioamnionitis, unspecified trimester, Diagnosis O41.1294 fetus 4 ICD10CM Pregnancy [O41.1295] Chorioamnionitis, unspecified trimester, Diagnosis O41.1295 fetus 5 ICD10CM Pregnancy [O41.1299] Chorioamnionitis, unspecified trimester, Diagnosis O41.1299 other fetus ICD10CM Pregnancy [O41.1410] Placentitis, first trimester, not Diagnosis O41.1410 applicable or unspecified ICD10CM Pregnancy Diagnosis O41.1411 [O41.1411] Placentitis, first trimester, fetus 1 ICD10CM Pregnancy Diagnosis O41.1412 [O41.1412] Placentitis, first trimester, fetus 2 ICD10CM Pregnancy Diagnosis O41.1413 [O41.1413] Placentitis, first trimester, fetus 3 ICD10CM Pregnancy Diagnosis O41.1414 [O41.1414] Placentitis, first trimester, fetus 4 ICD10CM Pregnancy Diagnosis O41.1415 [O41.1415] Placentitis, first trimester, fetus 5 ICD10CM Pregnancy Diagnosis O41.1419 [O41.1419] Placentitis, first trimester, other fetus ICD10CM Pregnancy [O41.1420] Placentitis, second trimester, not Diagnosis O41.1420 applicable or unspecified ICD10CM Pregnancy Diagnosis O41.1421 [O41.1421] Placentitis, second trimester, fetus 1 ICD10CM Pregnancy Diagnosis O41.1422 [O41.1422] Placentitis, second trimester, fetus 2 ICD10CM Pregnancy Diagnosis O41.1423 [O41.1423] Placentitis, second trimester, fetus 3 ICD10CM Pregnancy Diagnosis O41.1424 [O41.1424] Placentitis, second trimester, fetus 4 ICD10CM Pregnancy Diagnosis O41.1425 [O41.1425] Placentitis, second trimester, fetus 5 ICD10CM Pregnancy [O41.1429] Placentitis, second trimester, other Diagnosis O41.1429 fetus ICD10CM
Page 72 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O41.1430] Placentitis, third trimester, not Diagnosis O41.1430 applicable or unspecified ICD10CM Pregnancy Diagnosis O41.1431 [O41.1431] Placentitis, third trimester, fetus 1 ICD10CM Pregnancy Diagnosis O41.1432 [O41.1432] Placentitis, third trimester, fetus 2 ICD10CM Pregnancy Diagnosis O41.1433 [O41.1433] Placentitis, third trimester, fetus 3 ICD10CM Pregnancy Diagnosis O41.1434 [O41.1434] Placentitis, third trimester, fetus 4 ICD10CM Pregnancy Diagnosis O41.1435 [O41.1435] Placentitis, third trimester, fetus 5 ICD10CM Pregnancy Diagnosis O41.1439 [O41.1439] Placentitis, third trimester, other fetus ICD10CM Pregnancy [O41.1490] Placentitis, unspecified trimester, not Diagnosis O41.1490 applicable or unspecified ICD10CM Pregnancy [O41.1491] Placentitis, unspecified trimester, fetus Diagnosis O41.1491 1 ICD10CM Pregnancy [O41.1492] Placentitis, unspecified trimester, fetus Diagnosis O41.1492 2 ICD10CM Pregnancy [O41.1493] Placentitis, unspecified trimester, fetus Diagnosis O41.1493 3 ICD10CM Pregnancy [O41.1494] Placentitis, unspecified trimester, fetus Diagnosis O41.1494 4 ICD10CM Pregnancy [O41.1495] Placentitis, unspecified trimester, fetus Diagnosis O41.1495 5 ICD10CM Pregnancy [O41.1499] Placentitis, unspecified trimester, other Diagnosis O41.1499 fetus ICD10CM [O41.8X10] Other specified disorders of amniotic Pregnancy fluid and membranes, first trimester, not applicable Diagnosis O41.8X10 or unspecified ICD10CM
Pregnancy [O41.8X11] Other specified disorders of amniotic Diagnosis O41.8X11 fluid and membranes, first trimester, fetus 1 ICD10CM
Pregnancy [O41.8X12] Other specified disorders of amniotic Diagnosis O41.8X12 fluid and membranes, first trimester, fetus 2 ICD10CM
Pregnancy [O41.8X13] Other specified disorders of amniotic Diagnosis O41.8X13 fluid and membranes, first trimester, fetus 3 ICD10CM
Pregnancy [O41.8X14] Other specified disorders of amniotic Diagnosis O41.8X14 fluid and membranes, first trimester, fetus 4 ICD10CM
Pregnancy [O41.8X15] Other specified disorders of amniotic Diagnosis O41.8X15 fluid and membranes, first trimester, fetus 5 ICD10CM
Page 73 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O41.8X19] Other specified disorders of amniotic Diagnosis O41.8X19 fluid and membranes, first trimester, other fetus ICD10CM [O41.8X20] Other specified disorders of amniotic Pregnancy fluid and membranes, second trimester, not Diagnosis O41.8X20 applicable or unspecified ICD10CM
Pregnancy [O41.8X21] Other specified disorders of amniotic Diagnosis O41.8X21 fluid and membranes, second trimester, fetus 1 ICD10CM
Pregnancy [O41.8X22] Other specified disorders of amniotic Diagnosis O41.8X22 fluid and membranes, second trimester, fetus 2 ICD10CM
Pregnancy [O41.8X23] Other specified disorders of amniotic Diagnosis O41.8X23 fluid and membranes, second trimester, fetus 3 ICD10CM
Pregnancy [O41.8X24] Other specified disorders of amniotic Diagnosis O41.8X24 fluid and membranes, second trimester, fetus 4 ICD10CM
Pregnancy [O41.8X25] Other specified disorders of amniotic Diagnosis O41.8X25 fluid and membranes, second trimester, fetus 5 ICD10CM
Pregnancy [O41.8X29] Other specified disorders of amniotic Diagnosis O41.8X29 fluid and membranes, second trimester, other fetus ICD10CM [O41.8X30] Other specified disorders of amniotic Pregnancy fluid and membranes, third trimester, not Diagnosis O41.8X30 applicable or unspecified ICD10CM
Pregnancy [O41.8X31] Other specified disorders of amniotic Diagnosis O41.8X31 fluid and membranes, third trimester, fetus 1 ICD10CM
Pregnancy [O41.8X32] Other specified disorders of amniotic Diagnosis O41.8X32 fluid and membranes, third trimester, fetus 2 ICD10CM
Pregnancy [O41.8X33] Other specified disorders of amniotic Diagnosis O41.8X33 fluid and membranes, third trimester, fetus 3 ICD10CM
Pregnancy [O41.8X34] Other specified disorders of amniotic Diagnosis O41.8X34 fluid and membranes, third trimester, fetus 4 ICD10CM
Pregnancy [O41.8X35] Other specified disorders of amniotic Diagnosis O41.8X35 fluid and membranes, third trimester, fetus 5 ICD10CM
Pregnancy [O41.8X39] Other specified disorders of amniotic Diagnosis O41.8X39 fluid and membranes, third trimester, other fetus ICD10CM [O41.8X90] Other specified disorders of amniotic Pregnancy fluid and membranes, unspecified trimester, not Diagnosis O41.8X90 applicable or unspecified ICD10CM
Page 74 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O41.8X91] Other specified disorders of amniotic Diagnosis O41.8X91 fluid and membranes, unspecified trimester, fetus 1 ICD10CM
Pregnancy [O41.8X92] Other specified disorders of amniotic Diagnosis O41.8X92 fluid and membranes, unspecified trimester, fetus 2 ICD10CM
Pregnancy [O41.8X93] Other specified disorders of amniotic Diagnosis O41.8X93 fluid and membranes, unspecified trimester, fetus 3 ICD10CM
Pregnancy [O41.8X94] Other specified disorders of amniotic Diagnosis O41.8X94 fluid and membranes, unspecified trimester, fetus 4 ICD10CM
Pregnancy [O41.8X95] Other specified disorders of amniotic Diagnosis O41.8X95 fluid and membranes, unspecified trimester, fetus 5 ICD10CM [O41.8X99] Other specified disorders of amniotic Pregnancy fluid and membranes, unspecified trimester, other Diagnosis O41.8X99 fetus ICD10CM [O41.90X0] Disorder of amniotic fluid and Pregnancy membranes, unspecified, unspecified trimester, not Diagnosis O41.90X0 applicable or unspecified ICD10CM [O41.90X1] Disorder of amniotic fluid and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.90X1 fetus 1 ICD10CM [O41.90X2] Disorder of amniotic fluid and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.90X2 fetus 2 ICD10CM [O41.90X3] Disorder of amniotic fluid and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.90X3 fetus 3 ICD10CM [O41.90X4] Disorder of amniotic fluid and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.90X4 fetus 4 ICD10CM [O41.90X5] Disorder of amniotic fluid and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.90X5 fetus 5 ICD10CM [O41.90X9] Disorder of amniotic fluid and Pregnancy membranes, unspecified, unspecified trimester, Diagnosis O41.90X9 other fetus ICD10CM [O41.91X0] Disorder of amniotic fluid and Pregnancy membranes, unspecified, first trimester, not Diagnosis O41.91X0 applicable or unspecified ICD10CM
Pregnancy [O41.91X1] Disorder of amniotic fluid and Diagnosis O41.91X1 membranes, unspecified, first trimester, fetus 1 ICD10CM
Pregnancy [O41.91X2] Disorder of amniotic fluid and Diagnosis O41.91X2 membranes, unspecified, first trimester, fetus 2 ICD10CM
Page 75 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O41.91X3] Disorder of amniotic fluid and Diagnosis O41.91X3 membranes, unspecified, first trimester, fetus 3 ICD10CM
Pregnancy [O41.91X4] Disorder of amniotic fluid and Diagnosis O41.91X4 membranes, unspecified, first trimester, fetus 4 ICD10CM
Pregnancy [O41.91X5] Disorder of amniotic fluid and Diagnosis O41.91X5 membranes, unspecified, first trimester, fetus 5 ICD10CM
Pregnancy [O41.91X9] Disorder of amniotic fluid and Diagnosis O41.91X9 membranes, unspecified, first trimester, other fetus ICD10CM [O41.92X0] Disorder of amniotic fluid and Pregnancy membranes, unspecified, second trimester, not Diagnosis O41.92X0 applicable or unspecified ICD10CM
Pregnancy [O41.92X1] Disorder of amniotic fluid and Diagnosis O41.92X1 membranes, unspecified, second trimester, fetus 1 ICD10CM
Pregnancy [O41.92X2] Disorder of amniotic fluid and Diagnosis O41.92X2 membranes, unspecified, second trimester, fetus 2 ICD10CM
Pregnancy [O41.92X3] Disorder of amniotic fluid and Diagnosis O41.92X3 membranes, unspecified, second trimester, fetus 3 ICD10CM
Pregnancy [O41.92X4] Disorder of amniotic fluid and Diagnosis O41.92X4 membranes, unspecified, second trimester, fetus 4 ICD10CM
Pregnancy [O41.92X5] Disorder of amniotic fluid and Diagnosis O41.92X5 membranes, unspecified, second trimester, fetus 5 ICD10CM [O41.92X9] Disorder of amniotic fluid and Pregnancy membranes, unspecified, second trimester, other Diagnosis O41.92X9 fetus ICD10CM [O41.93X0] Disorder of amniotic fluid and Pregnancy membranes, unspecified, third trimester, not Diagnosis O41.93X0 applicable or unspecified ICD10CM
Pregnancy [O41.93X1] Disorder of amniotic fluid and Diagnosis O41.93X1 membranes, unspecified, third trimester, fetus 1 ICD10CM
Pregnancy [O41.93X2] Disorder of amniotic fluid and Diagnosis O41.93X2 membranes, unspecified, third trimester, fetus 2 ICD10CM
Pregnancy [O41.93X3] Disorder of amniotic fluid and Diagnosis O41.93X3 membranes, unspecified, third trimester, fetus 3 ICD10CM
Pregnancy [O41.93X4] Disorder of amniotic fluid and Diagnosis O41.93X4 membranes, unspecified, third trimester, fetus 4 ICD10CM
Page 76 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O41.93X5] Disorder of amniotic fluid and Diagnosis O41.93X5 membranes, unspecified, third trimester, fetus 5 ICD10CM [O41.93X9] Disorder of amniotic fluid and Pregnancy membranes, unspecified, third trimester, other Diagnosis O41.93X9 fetus ICD10CM [O42.00] Premature rupture of membranes, onset Pregnancy of labor within 24 hours of rupture, unspecified Diagnosis O42.00 weeks of gestation ICD10CM [O42.011] Preterm premature rupture of Pregnancy membranes, onset of labor within 24 hours of Diagnosis O42.011 rupture, first trimester ICD10CM [O42.012] Preterm premature rupture of Pregnancy membranes, onset of labor within 24 hours of Diagnosis O42.012 rupture, second trimester ICD10CM [O42.013] Preterm premature rupture of Pregnancy membranes, onset of labor within 24 hours of Diagnosis O42.013 rupture, third trimester ICD10CM [O42.019] Preterm premature rupture of Pregnancy membranes, onset of labor within 24 hours of Diagnosis O42.019 rupture, unspecified trimester ICD10CM [O42.02] Full-term premature rupture of Pregnancy membranes, onset of labor within 24 hours of Diagnosis O42.02 rupture ICD10CM [O42.10] Premature rupture of membranes, onset Pregnancy of labor more than 24 hours following rupture, Diagnosis O42.10 unspecified weeks of gestation ICD10CM [O42.111] Preterm premature rupture of Pregnancy membranes, onset of labor more than 24 hours Diagnosis O42.111 following rupture, first trimester ICD10CM [O42.112] Preterm premature rupture of Pregnancy membranes, onset of labor more than 24 hours Diagnosis O42.112 following rupture, second trimester ICD10CM [O42.113] Preterm premature rupture of Pregnancy membranes, onset of labor more than 24 hours Diagnosis O42.113 following rupture, third trimester ICD10CM
[O42.119] Preterm premature rupture of Pregnancy membranes, onset of labor more than 24 hours Diagnosis O42.119 following rupture, unspecified trimester ICD10CM [O42.12] Full-term premature rupture of Pregnancy membranes, onset of labor more than 24 hours Diagnosis O42.12 following rupture ICD10CM
[O42.90] Premature rupture of membranes, Pregnancy unspecified as to length of time between rupture Diagnosis O42.90 and onset of labor, unspecified weeks of gestation ICD10CM
Page 77 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
[O42.911] Preterm premature rupture of Pregnancy membranes, unspecified as to length of time Diagnosis O42.911 between rupture and onset of labor, first trimester ICD10CM [O42.912] Preterm premature rupture of membranes, unspecified as to length of time Pregnancy between rupture and onset of labor, second Diagnosis O42.912 trimester ICD10CM
[O42.913] Preterm premature rupture of Pregnancy membranes, unspecified as to length of time Diagnosis O42.913 between rupture and onset of labor, third trimester ICD10CM [O42.919] Preterm premature rupture of membranes, unspecified as to length of time Pregnancy between rupture and onset of labor, unspecified Diagnosis O42.919 trimester ICD10CM [O42.92] Full-term premature rupture of Pregnancy membranes, unspecified as to length of time Diagnosis O42.92 between rupture and onset of labor ICD10CM Pregnancy [O43.011] Fetomaternal placental transfusion Diagnosis O43.011 syndrome, first trimester ICD10CM Pregnancy [O43.012] Fetomaternal placental transfusion Diagnosis O43.012 syndrome, second trimester ICD10CM Pregnancy [O43.013] Fetomaternal placental transfusion Diagnosis O43.013 syndrome, third trimester ICD10CM Pregnancy [O43.019] Fetomaternal placental transfusion Diagnosis O43.019 syndrome, unspecified trimester ICD10CM Pregnancy [O43.021] Fetus-to-fetus placental transfusion Diagnosis O43.021 syndrome, first trimester ICD10CM Pregnancy [O43.022] Fetus-to-fetus placental transfusion Diagnosis O43.022 syndrome, second trimester ICD10CM Pregnancy [O43.023] Fetus-to-fetus placental transfusion Diagnosis O43.023 syndrome, third trimester ICD10CM Pregnancy [O43.029] Fetus-to-fetus placental transfusion Diagnosis O43.029 syndrome, unspecified trimester ICD10CM Pregnancy [O43.101] Malformation of placenta, unspecified, Diagnosis O43.101 first trimester ICD10CM Pregnancy [O43.102] Malformation of placenta, unspecified, Diagnosis O43.102 second trimester ICD10CM Pregnancy [O43.103] Malformation of placenta, unspecified, Diagnosis O43.103 third trimester ICD10CM Pregnancy [O43.109] Malformation of placenta, unspecified, Diagnosis O43.109 unspecified trimester ICD10CM Pregnancy Diagnosis O43.111 [O43.111] Circumvallate placenta, first trimester ICD10CM Pregnancy Diagnosis O43.112 [O43.112] Circumvallate placenta, second trimester ICD10CM
Page 78 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy Diagnosis O43.113 [O43.113] Circumvallate placenta, third trimester ICD10CM Pregnancy [O43.119] Circumvallate placenta, unspecified Diagnosis O43.119 trimester ICD10CM Pregnancy [O43.121] Velamentous insertion of umbilical cord, Diagnosis O43.121 first trimester ICD10CM Pregnancy [O43.122] Velamentous insertion of umbilical cord, Diagnosis O43.122 second trimester ICD10CM Pregnancy [O43.123] Velamentous insertion of umbilical cord, Diagnosis O43.123 third trimester ICD10CM Pregnancy [O43.129] Velamentous insertion of umbilical cord, Diagnosis O43.129 unspecified trimester ICD10CM Pregnancy [O43.191] Other malformation of placenta, first Diagnosis O43.191 trimester ICD10CM Pregnancy [O43.192] Other malformation of placenta, second Diagnosis O43.192 trimester ICD10CM Pregnancy [O43.193] Other malformation of placenta, third Diagnosis O43.193 trimester ICD10CM Pregnancy [O43.199] Other malformation of placenta, Diagnosis O43.199 unspecified trimester ICD10CM Pregnancy Diagnosis O43.211 [O43.211] Placenta accreta, first trimester ICD10CM Pregnancy Diagnosis O43.212 [O43.212] Placenta accreta, second trimester ICD10CM Pregnancy Diagnosis O43.213 [O43.213] Placenta accreta, third trimester ICD10CM Pregnancy Diagnosis O43.219 [O43.219] Placenta accreta, unspecified trimester ICD10CM Pregnancy Diagnosis O43.221 [O43.221] Placenta increta, first trimester ICD10CM Pregnancy Diagnosis O43.222 [O43.222] Placenta increta, second trimester ICD10CM Pregnancy Diagnosis O43.223 [O43.223] Placenta increta, third trimester ICD10CM Pregnancy Diagnosis O43.229 [O43.229] Placenta increta, unspecified trimester ICD10CM Pregnancy Diagnosis O43.231 [O43.231] Placenta percreta, first trimester ICD10CM Pregnancy Diagnosis O43.232 [O43.232] Placenta percreta, second trimester ICD10CM Pregnancy Diagnosis O43.233 [O43.233] Placenta percreta, third trimester ICD10CM Pregnancy Diagnosis O43.239 [O43.239] Placenta percreta, unspecified trimester ICD10CM Pregnancy Diagnosis O43.811 [O43.811] Placental infarction, first trimester ICD10CM Pregnancy Diagnosis O43.812 [O43.812] Placental infarction, second trimester ICD10CM
Page 79 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy Diagnosis O43.813 [O43.813] Placental infarction, third trimester ICD10CM Pregnancy [O43.819] Placental infarction, unspecified Diagnosis O43.819 trimester ICD10CM Pregnancy Diagnosis O43.891 [O43.891] Other placental disorders, first trimester ICD10CM Pregnancy [O43.892] Other placental disorders, second Diagnosis O43.892 trimester ICD10CM Pregnancy Diagnosis O43.893 [O43.893] Other placental disorders, third trimester ICD10CM Pregnancy [O43.899] Other placental disorders, unspecified Diagnosis O43.899 trimester ICD10CM Pregnancy [O43.90] Unspecified placental disorder, Diagnosis O43.90 unspecified trimester ICD10CM Pregnancy [O43.91] Unspecified placental disorder, first Diagnosis O43.91 trimester ICD10CM Pregnancy [O43.92] Unspecified placental disorder, second Diagnosis O43.92 trimester ICD10CM Pregnancy [O43.93] Unspecified placental disorder, third Diagnosis O43.93 trimester ICD10CM Pregnancy [O44.00] Complete placenta previa NOS or without Diagnosis O44.00 hemorrhage, unspecified trimester ICD10CM Pregnancy [O44.01] Complete placenta previa NOS or without Diagnosis O44.01 hemorrhage, first trimester ICD10CM Pregnancy [O44.02] Complete placenta previa NOS or without Diagnosis O44.02 hemorrhage, second trimester ICD10CM Pregnancy [O44.03] Complete placenta previa NOS or without Diagnosis O44.03 hemorrhage, third trimester ICD10CM Pregnancy [O44.10] Complete placenta previa with Diagnosis O44.10 hemorrhage, unspecified trimester ICD10CM Pregnancy [O44.11] Complete placenta previa with Diagnosis O44.11 hemorrhage, first trimester ICD10CM Pregnancy [O44.12] Complete placenta previa with Diagnosis O44.12 hemorrhage, second trimester ICD10CM Pregnancy [O44.13] Complete placenta previa with Diagnosis O44.13 hemorrhage, third trimester ICD10CM Pregnancy [O44.20] Partial placenta previa NOS or without Diagnosis O44.20 hemorrhage, unspecified trimester ICD10CM Pregnancy [O44.21] Partial placenta previa NOS or without Diagnosis O44.21 hemorrhage, first trimester ICD10CM Pregnancy [O44.22] Partial placenta previa NOS or without Diagnosis O44.22 hemorrhage, second trimester ICD10CM Pregnancy [O44.23] Partial placenta previa NOS or without Diagnosis O44.23 hemorrhage, third trimester ICD10CM Pregnancy [O44.30] Partial placenta previa with hemorrhage, Diagnosis O44.30 unspecified trimester ICD10CM Pregnancy [O44.31] Partial placenta previa with hemorrhage, Diagnosis O44.31 first trimester ICD10CM
Page 80 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O44.32] Partial placenta previa with hemorrhage, Diagnosis O44.32 second trimester ICD10CM Pregnancy [O44.33] Partial placenta previa with hemorrhage, Diagnosis O44.33 third trimester ICD10CM Pregnancy [O44.40] Low lying placenta NOS or without Diagnosis O44.40 hemorrhage, unspecified trimester ICD10CM Pregnancy [O44.41] Low lying placenta NOS or without Diagnosis O44.41 hemorrhage, first trimester ICD10CM Pregnancy [O44.42] Low lying placenta NOS or without Diagnosis O44.42 hemorrhage, second trimester ICD10CM Pregnancy [O44.43] Low lying placenta NOS or without Diagnosis O44.43 hemorrhage, third trimester ICD10CM Pregnancy [O44.50] Low lying placenta with hemorrhage, Diagnosis O44.50 unspecified trimester ICD10CM Pregnancy [O44.51] Low lying placenta with hemorrhage, first Diagnosis O44.51 trimester ICD10CM Pregnancy [O44.52] Low lying placenta with hemorrhage, Diagnosis O44.52 second trimester ICD10CM Pregnancy [O44.53] Low lying placenta with hemorrhage, third Diagnosis O44.53 trimester ICD10CM
Pregnancy [O45.001] Premature separation of placenta with Diagnosis O45.001 coagulation defect, unspecified, first trimester ICD10CM
Pregnancy [O45.002] Premature separation of placenta with Diagnosis O45.002 coagulation defect, unspecified, second trimester ICD10CM
Pregnancy [O45.003] Premature separation of placenta with Diagnosis O45.003 coagulation defect, unspecified, third trimester ICD10CM [O45.009] Premature separation of placenta with Pregnancy coagulation defect, unspecified, unspecified Diagnosis O45.009 trimester ICD10CM Pregnancy [O45.011] Premature separation of placenta with Diagnosis O45.011 afibrinogenemia, first trimester ICD10CM Pregnancy [O45.012] Premature separation of placenta with Diagnosis O45.012 afibrinogenemia, second trimester ICD10CM Pregnancy [O45.013] Premature separation of placenta with Diagnosis O45.013 afibrinogenemia, third trimester ICD10CM Pregnancy [O45.019] Premature separation of placenta with Diagnosis O45.019 afibrinogenemia, unspecified trimester ICD10CM [O45.021] Premature separation of placenta with Pregnancy disseminated intravascular coagulation, first Diagnosis O45.021 trimester ICD10CM [O45.022] Premature separation of placenta with Pregnancy disseminated intravascular coagulation, second Diagnosis O45.022 trimester ICD10CM
Page 81 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System [O45.023] Premature separation of placenta with Pregnancy disseminated intravascular coagulation, third Diagnosis O45.023 trimester ICD10CM [O45.029] Premature separation of placenta with Pregnancy disseminated intravascular coagulation, unspecified Diagnosis O45.029 trimester ICD10CM Pregnancy [O45.091] Premature separation of placenta with Diagnosis O45.091 other coagulation defect, first trimester ICD10CM
Pregnancy [O45.092] Premature separation of placenta with Diagnosis O45.092 other coagulation defect, second trimester ICD10CM Pregnancy [O45.093] Premature separation of placenta with Diagnosis O45.093 other coagulation defect, third trimester ICD10CM
Pregnancy [O45.099] Premature separation of placenta with Diagnosis O45.099 other coagulation defect, unspecified trimester ICD10CM Pregnancy [O45.8X1] Other premature separation of placenta, Diagnosis O45.8X1 first trimester ICD10CM Pregnancy [O45.8X2] Other premature separation of placenta, Diagnosis O45.8X2 second trimester ICD10CM Pregnancy [O45.8X3] Other premature separation of placenta, Diagnosis O45.8X3 third trimester ICD10CM Pregnancy [O45.8X9] Other premature separation of placenta, Diagnosis O45.8X9 unspecified trimester ICD10CM Pregnancy [O45.90] Premature separation of placenta, Diagnosis O45.90 unspecified, unspecified trimester ICD10CM Pregnancy [O45.91] Premature separation of placenta, Diagnosis O45.91 unspecified, first trimester ICD10CM Pregnancy [O45.92] Premature separation of placenta, Diagnosis O45.92 unspecified, second trimester ICD10CM Pregnancy [O45.93] Premature separation of placenta, Diagnosis O45.93 unspecified, third trimester ICD10CM
Pregnancy [O46.001] Antepartum hemorrhage with Diagnosis O46.001 coagulation defect, unspecified, first trimester ICD10CM
Pregnancy [O46.002] Antepartum hemorrhage with Diagnosis O46.002 coagulation defect, unspecified, second trimester ICD10CM
Pregnancy [O46.003] Antepartum hemorrhage with Diagnosis O46.003 coagulation defect, unspecified, third trimester ICD10CM [O46.009] Antepartum hemorrhage with Pregnancy coagulation defect, unspecified, unspecified Diagnosis O46.009 trimester ICD10CM Pregnancy [O46.011] Antepartum hemorrhage with Diagnosis O46.011 afibrinogenemia, first trimester ICD10CM Pregnancy [O46.012] Antepartum hemorrhage with Diagnosis O46.012 afibrinogenemia, second trimester ICD10CM
Page 82 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O46.013] Antepartum hemorrhage with Diagnosis O46.013 afibrinogenemia, third trimester ICD10CM Pregnancy [O46.019] Antepartum hemorrhage with Diagnosis O46.019 afibrinogenemia, unspecified trimester ICD10CM [O46.021] Antepartum hemorrhage with Pregnancy disseminated intravascular coagulation, first Diagnosis O46.021 trimester ICD10CM [O46.022] Antepartum hemorrhage with Pregnancy disseminated intravascular coagulation, second Diagnosis O46.022 trimester ICD10CM [O46.023] Antepartum hemorrhage with Pregnancy disseminated intravascular coagulation, third Diagnosis O46.023 trimester ICD10CM [O46.029] Antepartum hemorrhage with Pregnancy disseminated intravascular coagulation, unspecified Diagnosis O46.029 trimester ICD10CM Pregnancy [O46.091] Antepartum hemorrhage with other Diagnosis O46.091 coagulation defect, first trimester ICD10CM Pregnancy [O46.092] Antepartum hemorrhage with other Diagnosis O46.092 coagulation defect, second trimester ICD10CM Pregnancy [O46.093] Antepartum hemorrhage with other Diagnosis O46.093 coagulation defect, third trimester ICD10CM Pregnancy [O46.099] Antepartum hemorrhage with other Diagnosis O46.099 coagulation defect, unspecified trimester ICD10CM Pregnancy [O46.8X1] Other antepartum hemorrhage, first Diagnosis O46.8X1 trimester ICD10CM Pregnancy [O46.8X2] Other antepartum hemorrhage, second Diagnosis O46.8X2 trimester ICD10CM Pregnancy [O46.8X3] Other antepartum hemorrhage, third Diagnosis O46.8X3 trimester ICD10CM Pregnancy [O46.8X9] Other antepartum hemorrhage, Diagnosis O46.8X9 unspecified trimester ICD10CM Pregnancy [O46.90] Antepartum hemorrhage, unspecified, Diagnosis O46.90 unspecified trimester ICD10CM Pregnancy [O46.91] Antepartum hemorrhage, unspecified, first Diagnosis O46.91 trimester ICD10CM Pregnancy [O46.92] Antepartum hemorrhage, unspecified, Diagnosis O46.92 second trimester ICD10CM Pregnancy [O46.93] Antepartum hemorrhage, unspecified, Diagnosis O46.93 third trimester ICD10CM Pregnancy [O47.00] False labor before 37 completed weeks of Diagnosis O47.00 gestation, unspecified trimester ICD10CM Pregnancy [O47.02] False labor before 37 completed weeks of Diagnosis O47.02 gestation, second trimester ICD10CM Pregnancy [O47.03] False labor before 37 completed weeks of Diagnosis O47.03 gestation, third trimester ICD10CM Pregnancy [O47.1] False labor at or after 37 completed weeks Diagnosis O47.1 of gestation ICD10CM
Page 83 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy Diagnosis O47.9 [O47.9] False labor, unspecified ICD10CM Pregnancy Diagnosis O48.0 [O48.0] Post-term pregnancy ICD10CM Pregnancy Diagnosis O48.1 [O48.1] Prolonged pregnancy ICD10CM Pregnancy [O60.00] Preterm labor without delivery, Diagnosis O60.00 unspecified trimester ICD10CM Pregnancy [O60.02] Preterm labor without delivery, second Diagnosis O60.02 trimester ICD10CM Pregnancy [O60.03] Preterm labor without delivery, third Diagnosis O60.03 trimester ICD10CM Pregnancy [O71.00] Rupture of uterus before onset of labor, Diagnosis O71.00 unspecified trimester ICD10CM Pregnancy [O71.02] Rupture of uterus before onset of labor, Diagnosis O71.02 second trimester ICD10CM Pregnancy [O71.03] Rupture of uterus before onset of labor, Diagnosis O71.03 third trimester ICD10CM Pregnancy Diagnosis O71.1 [O71.1] Rupture of uterus during labor ICD10CM Pregnancy Diagnosis O71.2 [O71.2] Postpartum inversion of uterus ICD10CM Pregnancy Diagnosis O71.3 [O71.3] Obstetric laceration of cervix ICD10CM Pregnancy Diagnosis O71.4 [O71.4] Obstetric high vaginal laceration alone ICD10CM Pregnancy Diagnosis O71.5 [O71.5] Other obstetric injury to pelvic organs ICD10CM Pregnancy [O71.6] Obstetric damage to pelvic joints and Diagnosis O71.6 ligaments ICD10CM Pregnancy Diagnosis O71.7 [O71.7] Obstetric hematoma of pelvis ICD10CM Pregnancy [O71.81] Laceration of uterus, not elsewhere Diagnosis O71.81 classified ICD10CM Pregnancy [O71.82] Other specified trauma to perineum and Diagnosis O71.82 vulva ICD10CM Pregnancy Diagnosis O71.89 [O71.89] Other specified obstetric trauma ICD10CM Pregnancy Diagnosis O71.9 [O71.9] Obstetric trauma, unspecified ICD10CM Pregnancy Diagnosis O88.011 [O88.011] Air embolism in pregnancy, first trimester ICD10CM Pregnancy [O88.012] Air embolism in pregnancy, second Diagnosis O88.012 trimester ICD10CM Pregnancy [O88.013] Air embolism in pregnancy, third Diagnosis O88.013 trimester ICD10CM Pregnancy [O88.019] Air embolism in pregnancy, unspecified Diagnosis O88.019 trimester ICD10CM
Page 84 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O88.111] Amniotic fluid embolism in pregnancy, Diagnosis O88.111 first trimester ICD10CM Pregnancy [O88.112] Amniotic fluid embolism in pregnancy, Diagnosis O88.112 second trimester ICD10CM Pregnancy [O88.113] Amniotic fluid embolism in pregnancy, Diagnosis O88.113 third trimester ICD10CM Pregnancy [O88.119] Amniotic fluid embolism in pregnancy, Diagnosis O88.119 unspecified trimester ICD10CM Pregnancy [O88.211] Thromboembolism in pregnancy, first Diagnosis O88.211 trimester ICD10CM Pregnancy [O88.212] Thromboembolism in pregnancy, second Diagnosis O88.212 trimester ICD10CM Pregnancy [O88.213] Thromboembolism in pregnancy, third Diagnosis O88.213 trimester ICD10CM Pregnancy [O88.219] Thromboembolism in pregnancy, Diagnosis O88.219 unspecified trimester ICD10CM Pregnancy [O88.311] Pyemic and septic embolism in Diagnosis O88.311 pregnancy, first trimester ICD10CM Pregnancy [O88.312] Pyemic and septic embolism in Diagnosis O88.312 pregnancy, second trimester ICD10CM Pregnancy [O88.313] Pyemic and septic embolism in Diagnosis O88.313 pregnancy, third trimester ICD10CM Pregnancy [O88.319] Pyemic and septic embolism in Diagnosis O88.319 pregnancy, unspecified trimester ICD10CM Pregnancy [O88.811] Other embolism in pregnancy, first Diagnosis O88.811 trimester ICD10CM Pregnancy [O88.812] Other embolism in pregnancy, second Diagnosis O88.812 trimester ICD10CM Pregnancy [O88.813] Other embolism in pregnancy, third Diagnosis O88.813 trimester ICD10CM Pregnancy [O88.819] Other embolism in pregnancy, Diagnosis O88.819 unspecified trimester ICD10CM Pregnancy [O91.011] Infection of nipple associated with Diagnosis O91.011 pregnancy, first trimester ICD10CM Pregnancy [O91.012] Infection of nipple associated with Diagnosis O91.012 pregnancy, second trimester ICD10CM Pregnancy [O91.013] Infection of nipple associated with Diagnosis O91.013 pregnancy, third trimester ICD10CM Pregnancy [O91.019] Infection of nipple associated with Diagnosis O91.019 pregnancy, unspecified trimester ICD10CM Pregnancy [O91.03] Infection of nipple associated with Diagnosis O91.03 lactation ICD10CM Pregnancy [O91.111] Abscess of breast associated with Diagnosis O91.111 pregnancy, first trimester ICD10CM Pregnancy [O91.112] Abscess of breast associated with Diagnosis O91.112 pregnancy, second trimester ICD10CM Pregnancy [O91.113] Abscess of breast associated with Diagnosis O91.113 pregnancy, third trimester ICD10CM
Page 85 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O91.119] Abscess of breast associated with Diagnosis O91.119 pregnancy, unspecified trimester ICD10CM Pregnancy Diagnosis O91.13 [O91.13] Abscess of breast associated with lactation ICD10CM Pregnancy [O91.211] Nonpurulent mastitis associated with Diagnosis O91.211 pregnancy, first trimester ICD10CM Pregnancy [O91.212] Nonpurulent mastitis associated with Diagnosis O91.212 pregnancy, second trimester ICD10CM Pregnancy [O91.213] Nonpurulent mastitis associated with Diagnosis O91.213 pregnancy, third trimester ICD10CM Pregnancy [O91.219] Nonpurulent mastitis associated with Diagnosis O91.219 pregnancy, unspecified trimester ICD10CM Pregnancy [O91.23] Nonpurulent mastitis associated with Diagnosis O91.23 lactation ICD10CM Pregnancy [O92.011] Retracted nipple associated with Diagnosis O92.011 pregnancy, first trimester ICD10CM Pregnancy [O92.012] Retracted nipple associated with Diagnosis O92.012 pregnancy, second trimester ICD10CM Pregnancy [O92.013] Retracted nipple associated with Diagnosis O92.013 pregnancy, third trimester ICD10CM Pregnancy [O92.019] Retracted nipple associated with Diagnosis O92.019 pregnancy, unspecified trimester ICD10CM Pregnancy Diagnosis O92.03 [O92.03] Retracted nipple associated with lactation ICD10CM Pregnancy [O92.111] Cracked nipple associated with Diagnosis O92.111 pregnancy, first trimester ICD10CM Pregnancy [O92.112] Cracked nipple associated with Diagnosis O92.112 pregnancy, second trimester ICD10CM Pregnancy [O92.113] Cracked nipple associated with Diagnosis O92.113 pregnancy, third trimester ICD10CM Pregnancy [O92.119] Cracked nipple associated with Diagnosis O92.119 pregnancy, unspecified trimester ICD10CM Pregnancy Diagnosis O92.13 [O92.13] Cracked nipple associated with lactation ICD10CM Pregnancy Diagnosis O92.3 [O92.3] Agalactia ICD10CM Pregnancy Diagnosis O92.4 [O92.4] Hypogalactia ICD10CM Pregnancy Diagnosis O92.5 [O92.5] Suppressed lactation ICD10CM Pregnancy Diagnosis O92.6 [O92.6] Galactorrhea ICD10CM Pregnancy Diagnosis O92.70 [O92.70] Unspecified disorders of lactation ICD10CM Pregnancy Diagnosis O92.79 [O92.79] Other disorders of lactation ICD10CM Pregnancy [O98.011] Tuberculosis complicating pregnancy, Diagnosis O98.011 first trimester ICD10CM
Page 86 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O98.012] Tuberculosis complicating pregnancy, Diagnosis O98.012 second trimester ICD10CM Pregnancy [O98.013] Tuberculosis complicating pregnancy, Diagnosis O98.013 third trimester ICD10CM Pregnancy [O98.019] Tuberculosis complicating pregnancy, Diagnosis O98.019 unspecified trimester ICD10CM Pregnancy [O98.111] Syphilis complicating pregnancy, first Diagnosis O98.111 trimester ICD10CM Pregnancy [O98.112] Syphilis complicating pregnancy, second Diagnosis O98.112 trimester ICD10CM Pregnancy [O98.113] Syphilis complicating pregnancy, third Diagnosis O98.113 trimester ICD10CM Pregnancy [O98.119] Syphilis complicating pregnancy, Diagnosis O98.119 unspecified trimester ICD10CM Pregnancy [O98.211] Gonorrhea complicating pregnancy, first Diagnosis O98.211 trimester ICD10CM Pregnancy [O98.212] Gonorrhea complicating pregnancy, Diagnosis O98.212 second trimester ICD10CM Pregnancy [O98.213] Gonorrhea complicating pregnancy, third Diagnosis O98.213 trimester ICD10CM Pregnancy [O98.219] Gonorrhea complicating pregnancy, Diagnosis O98.219 unspecified trimester ICD10CM [O98.311] Other infections with a predominantly Pregnancy sexual mode of transmission complicating Diagnosis O98.311 pregnancy, first trimester ICD10CM [O98.312] Other infections with a predominantly Pregnancy sexual mode of transmission complicating Diagnosis O98.312 pregnancy, second trimester ICD10CM [O98.313] Other infections with a predominantly Pregnancy sexual mode of transmission complicating Diagnosis O98.313 pregnancy, third trimester ICD10CM
[O98.319] Other infections with a predominantly Pregnancy sexual mode of transmission complicating Diagnosis O98.319 pregnancy, unspecified trimester ICD10CM Pregnancy [O98.411] Viral hepatitis complicating pregnancy, Diagnosis O98.411 first trimester ICD10CM Pregnancy [O98.412] Viral hepatitis complicating pregnancy, Diagnosis O98.412 second trimester ICD10CM Pregnancy [O98.413] Viral hepatitis complicating pregnancy, Diagnosis O98.413 third trimester ICD10CM Pregnancy [O98.419] Viral hepatitis complicating pregnancy, Diagnosis O98.419 unspecified trimester ICD10CM Pregnancy [O98.511] Other viral diseases complicating Diagnosis O98.511 pregnancy, first trimester ICD10CM Pregnancy [O98.512] Other viral diseases complicating Diagnosis O98.512 pregnancy, second trimester ICD10CM
Page 87 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O98.513] Other viral diseases complicating Diagnosis O98.513 pregnancy, third trimester ICD10CM Pregnancy [O98.519] Other viral diseases complicating Diagnosis O98.519 pregnancy, unspecified trimester ICD10CM Pregnancy [O98.611] Protozoal diseases complicating Diagnosis O98.611 pregnancy, first trimester ICD10CM Pregnancy [O98.612] Protozoal diseases complicating Diagnosis O98.612 pregnancy, second trimester ICD10CM Pregnancy [O98.613] Protozoal diseases complicating Diagnosis O98.613 pregnancy, third trimester ICD10CM Pregnancy [O98.619] Protozoal diseases complicating Diagnosis O98.619 pregnancy, unspecified trimester ICD10CM
Pregnancy [O98.711] Human immunodeficiency virus [HIV] Diagnosis O98.711 disease complicating pregnancy, first trimester ICD10CM
Pregnancy [O98.712] Human immunodeficiency virus [HIV] Diagnosis O98.712 disease complicating pregnancy, second trimester ICD10CM
Pregnancy [O98.713] Human immunodeficiency virus [HIV] Diagnosis O98.713 disease complicating pregnancy, third trimester ICD10CM [O98.719] Human immunodeficiency virus [HIV] Pregnancy disease complicating pregnancy, unspecified Diagnosis O98.719 trimester ICD10CM
Pregnancy [O98.811] Other maternal infectious and parasitic Diagnosis O98.811 diseases complicating pregnancy, first trimester ICD10CM
Pregnancy [O98.812] Other maternal infectious and parasitic Diagnosis O98.812 diseases complicating pregnancy, second trimester ICD10CM
Pregnancy [O98.813] Other maternal infectious and parasitic Diagnosis O98.813 diseases complicating pregnancy, third trimester ICD10CM [O98.819] Other maternal infectious and parasitic Pregnancy diseases complicating pregnancy, unspecified Diagnosis O98.819 trimester ICD10CM [O98.911] Unspecified maternal infectious and Pregnancy parasitic disease complicating pregnancy, first Diagnosis O98.911 trimester ICD10CM [O98.912] Unspecified maternal infectious and Pregnancy parasitic disease complicating pregnancy, second Diagnosis O98.912 trimester ICD10CM [O98.913] Unspecified maternal infectious and Pregnancy parasitic disease complicating pregnancy, third Diagnosis O98.913 trimester ICD10CM [O98.919] Unspecified maternal infectious and Pregnancy parasitic disease complicating pregnancy, Diagnosis O98.919 unspecified trimester ICD10CM
Page 88 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O99.011] Anemia complicating pregnancy, first Diagnosis O99.011 trimester ICD10CM Pregnancy [O99.012] Anemia complicating pregnancy, second Diagnosis O99.012 trimester ICD10CM Pregnancy [O99.013] Anemia complicating pregnancy, third Diagnosis O99.013 trimester ICD10CM Pregnancy [O99.019] Anemia complicating pregnancy, Diagnosis O99.019 unspecified trimester ICD10CM [O99.111] Other diseases of the blood and blood- forming organs and certain disorders involving the Pregnancy immune mechanism complicating pregnancy, first Diagnosis O99.111 trimester ICD10CM [O99.112] Other diseases of the blood and blood- forming organs and certain disorders involving the Pregnancy immune mechanism complicating pregnancy, Diagnosis O99.112 second trimester ICD10CM [O99.113] Other diseases of the blood and blood- forming organs and certain disorders involving the Pregnancy immune mechanism complicating pregnancy, third Diagnosis O99.113 trimester ICD10CM
[O99.119] Other diseases of the blood and blood- forming organs and certain disorders involving the Pregnancy immune mechanism complicating pregnancy, Diagnosis O99.119 unspecified trimester ICD10CM Pregnancy [O99.210] Obesity complicating pregnancy, Diagnosis O99.210 unspecified trimester ICD10CM Pregnancy [O99.211] Obesity complicating pregnancy, first Diagnosis O99.211 trimester ICD10CM Pregnancy [O99.212] Obesity complicating pregnancy, second Diagnosis O99.212 trimester ICD10CM Pregnancy [O99.213] Obesity complicating pregnancy, third Diagnosis O99.213 trimester ICD10CM [O99.280] Endocrine, nutritional and metabolic Pregnancy diseases complicating pregnancy, unspecified Diagnosis O99.280 trimester ICD10CM
Pregnancy [O99.281] Endocrine, nutritional and metabolic Diagnosis O99.281 diseases complicating pregnancy, first trimester ICD10CM
Pregnancy [O99.282] Endocrine, nutritional and metabolic Diagnosis O99.282 diseases complicating pregnancy, second trimester ICD10CM
Pregnancy [O99.283] Endocrine, nutritional and metabolic Diagnosis O99.283 diseases complicating pregnancy, third trimester ICD10CM Pregnancy [O99.310] Alcohol use complicating pregnancy, Diagnosis O99.310 unspecified trimester ICD10CM
Page 89 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O99.311] Alcohol use complicating pregnancy, first Diagnosis O99.311 trimester ICD10CM Pregnancy [O99.312] Alcohol use complicating pregnancy, Diagnosis O99.312 second trimester ICD10CM Pregnancy [O99.313] Alcohol use complicating pregnancy, Diagnosis O99.313 third trimester ICD10CM Pregnancy [O99.320] Drug use complicating pregnancy, Diagnosis O99.320 unspecified trimester ICD10CM Pregnancy [O99.321] Drug use complicating pregnancy, first Diagnosis O99.321 trimester ICD10CM Pregnancy [O99.322] Drug use complicating pregnancy, second Diagnosis O99.322 trimester ICD10CM Pregnancy [O99.323] Drug use complicating pregnancy, third Diagnosis O99.323 trimester ICD10CM Pregnancy [O99.330] Smoking (tobacco) complicating Diagnosis O99.330 pregnancy, unspecified trimester ICD10CM Pregnancy [O99.331] Smoking (tobacco) complicating Diagnosis O99.331 pregnancy, first trimester ICD10CM Pregnancy [O99.332] Smoking (tobacco) complicating Diagnosis O99.332 pregnancy, second trimester ICD10CM Pregnancy [O99.333] Smoking (tobacco) complicating Diagnosis O99.333 pregnancy, third trimester ICD10CM
Pregnancy [O99.340] Other mental disorders complicating Diagnosis O99.340 pregnancy, unspecified trimester ICD10CM Pregnancy [O99.341] Other mental disorders complicating Diagnosis O99.341 pregnancy, first trimester ICD10CM Pregnancy [O99.342] Other mental disorders complicating Diagnosis O99.342 pregnancy, second trimester ICD10CM Pregnancy [O99.343] Other mental disorders complicating Diagnosis O99.343 pregnancy, third trimester ICD10CM
Pregnancy [O99.350] Diseases of the nervous system Diagnosis O99.350 complicating pregnancy, unspecified trimester ICD10CM Pregnancy [O99.351] Diseases of the nervous system Diagnosis O99.351 complicating pregnancy, first trimester ICD10CM Pregnancy [O99.352] Diseases of the nervous system Diagnosis O99.352 complicating pregnancy, second trimester ICD10CM Pregnancy [O99.353] Diseases of the nervous system Diagnosis O99.353 complicating pregnancy, third trimester ICD10CM Pregnancy [O99.411] Diseases of the circulatory system Diagnosis O99.411 complicating pregnancy, first trimester ICD10CM Pregnancy [O99.412] Diseases of the circulatory system Diagnosis O99.412 complicating pregnancy, second trimester ICD10CM Pregnancy [O99.413] Diseases of the circulatory system Diagnosis O99.413 complicating pregnancy, third trimester ICD10CM
Page 90 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System
Pregnancy [O99.419] Diseases of the circulatory system Diagnosis O99.419 complicating pregnancy, unspecified trimester ICD10CM Pregnancy [O99.511] Diseases of the respiratory system Diagnosis O99.511 complicating pregnancy, first trimester ICD10CM Pregnancy [O99.512] Diseases of the respiratory system Diagnosis O99.512 complicating pregnancy, second trimester ICD10CM Pregnancy [O99.513] Diseases of the respiratory system Diagnosis O99.513 complicating pregnancy, third trimester ICD10CM
Pregnancy [O99.519] Diseases of the respiratory system Diagnosis O99.519 complicating pregnancy, unspecified trimester ICD10CM Pregnancy [O99.611] Diseases of the digestive system Diagnosis O99.611 complicating pregnancy, first trimester ICD10CM Pregnancy [O99.612] Diseases of the digestive system Diagnosis O99.612 complicating pregnancy, second trimester ICD10CM Pregnancy [O99.613] Diseases of the digestive system Diagnosis O99.613 complicating pregnancy, third trimester ICD10CM
Pregnancy [O99.619] Diseases of the digestive system Diagnosis O99.619 complicating pregnancy, unspecified trimester ICD10CM
Pregnancy [O99.711] Diseases of the skin and subcutaneous Diagnosis O99.711 tissue complicating pregnancy, first trimester ICD10CM
Pregnancy [O99.712] Diseases of the skin and subcutaneous Diagnosis O99.712 tissue complicating pregnancy, second trimester ICD10CM
Pregnancy [O99.713] Diseases of the skin and subcutaneous Diagnosis O99.713 tissue complicating pregnancy, third trimester ICD10CM [O99.719] Diseases of the skin and subcutaneous Pregnancy tissue complicating pregnancy, unspecified Diagnosis O99.719 trimester ICD10CM Pregnancy [O99.810] Abnormal glucose complicating Diagnosis O99.810 pregnancy ICD10CM Pregnancy [O99.820] Streptococcus B carrier state Diagnosis O99.820 complicating pregnancy ICD10CM Pregnancy [O99.830] Other infection carrier state complicating Diagnosis O99.830 pregnancy ICD10CM Pregnancy [O99.840] Bariatric surgery status complicating Diagnosis O99.840 pregnancy, unspecified trimester ICD10CM Pregnancy [O99.841] Bariatric surgery status complicating Diagnosis O99.841 pregnancy, first trimester ICD10CM Pregnancy [O99.842] Bariatric surgery status complicating Diagnosis O99.842 pregnancy, second trimester ICD10CM Pregnancy [O99.843] Bariatric surgery status complicating Diagnosis O99.843 pregnancy, third trimester ICD10CM
Page 91 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [O9A.111] Malignant neoplasm complicating Diagnosis O9A.111 pregnancy, first trimester ICD10CM Pregnancy [O9A.112] Malignant neoplasm complicating Diagnosis O9A.112 pregnancy, second trimester ICD10CM Pregnancy [O9A.113] Malignant neoplasm complicating Diagnosis O9A.113 pregnancy, third trimester ICD10CM Pregnancy [O9A.119] Malignant neoplasm complicating Diagnosis O9A.119 pregnancy, unspecified trimester ICD10CM [O9A.211] Injury, poisoning and certain other Pregnancy consequences of external causes complicating Diagnosis O9A.211 pregnancy, first trimester ICD10CM [O9A.212] Injury, poisoning and certain other Pregnancy consequences of external causes complicating Diagnosis O9A.212 pregnancy, second trimester ICD10CM [O9A.213] Injury, poisoning and certain other Pregnancy consequences of external causes complicating Diagnosis O9A.213 pregnancy, third trimester ICD10CM
[O9A.219] Injury, poisoning and certain other Pregnancy consequences of external causes complicating Diagnosis O9A.219 pregnancy, unspecified trimester ICD10CM Pregnancy [O9A.311] Physical abuse complicating pregnancy, Diagnosis O9A.311 first trimester ICD10CM Pregnancy [O9A.312] Physical abuse complicating pregnancy, Diagnosis O9A.312 second trimester ICD10CM Pregnancy [O9A.313] Physical abuse complicating pregnancy, Diagnosis O9A.313 third trimester ICD10CM Pregnancy [O9A.319] Physical abuse complicating pregnancy, Diagnosis O9A.319 unspecified trimester ICD10CM Pregnancy [O9A.411] Sexual abuse complicating pregnancy, Diagnosis O9A.411 first trimester ICD10CM Pregnancy [O9A.412] Sexual abuse complicating pregnancy, Diagnosis O9A.412 second trimester ICD10CM Pregnancy [O9A.413] Sexual abuse complicating pregnancy, Diagnosis O9A.413 third trimester ICD10CM Pregnancy [O9A.419] Sexual abuse complicating pregnancy, Diagnosis O9A.419 unspecified trimester ICD10CM Pregnancy [O9A.511] Psychological abuse complicating Diagnosis O9A.511 pregnancy, first trimester ICD10CM Pregnancy [O9A.512] Psychological abuse complicating Diagnosis O9A.512 pregnancy, second trimester ICD10CM Pregnancy [O9A.513] Psychological abuse complicating Diagnosis O9A.513 pregnancy, third trimester ICD10CM Pregnancy [O9A.519] Psychological abuse complicating Diagnosis O9A.519 pregnancy, unspecified trimester ICD10CM Pregnancy [Z03.71] Encounter for suspected problem with Diagnosis Z03.71 amniotic cavity and membrane ruled out ICD10CM
Page 92 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [Z03.72] Encounter for suspected placental problem Diagnosis Z03.72 ruled out ICD10CM Pregnancy [Z03.73] Encounter for suspected fetal anomaly Diagnosis Z03.73 ruled out ICD10CM Pregnancy [Z03.74] Encounter for suspected problem with Diagnosis Z03.74 fetal growth ruled out ICD10CM Pregnancy [Z03.75] Encounter for suspected cervical Diagnosis Z03.75 shortening ruled out ICD10CM Pregnancy [Z03.79] Encounter for other suspected maternal Diagnosis Z03.79 and fetal conditions ruled out ICD10CM Pregnancy [Z34.00] Encounter for supervision of normal first Diagnosis Z34.00 pregnancy, unspecified trimester ICD10CM Pregnancy [Z34.01] Encounter for supervision of normal first Diagnosis Z34.01 pregnancy, first trimester ICD10CM Pregnancy [Z34.02] Encounter for supervision of normal first Diagnosis Z34.02 pregnancy, second trimester ICD10CM Pregnancy [Z34.03] Encounter for supervision of normal first Diagnosis Z34.03 pregnancy, third trimester ICD10CM Pregnancy [Z34.80] Encounter for supervision of other normal Diagnosis Z34.80 pregnancy, unspecified trimester ICD10CM Pregnancy [Z34.81] Encounter for supervision of other normal Diagnosis Z34.81 pregnancy, first trimester ICD10CM Pregnancy [Z34.82] Encounter for supervision of other normal Diagnosis Z34.82 pregnancy, second trimester ICD10CM Pregnancy [Z34.83] Encounter for supervision of other normal Diagnosis Z34.83 pregnancy, third trimester ICD10CM
Pregnancy [Z34.90] Encounter for supervision of normal Diagnosis Z34.90 pregnancy, unspecified, unspecified trimester ICD10CM Pregnancy [Z34.91] Encounter for supervision of normal Diagnosis Z34.91 pregnancy, unspecified, first trimester ICD10CM Pregnancy [Z34.92] Encounter for supervision of normal Diagnosis Z34.92 pregnancy, unspecified, second trimester ICD10CM Pregnancy [Z34.93] Encounter for supervision of normal Diagnosis Z34.93 pregnancy, unspecified, third trimester ICD10CM Pregnancy Diagnosis Z36 [Z36] Encounter for antenatal screening of mother ICD10CM Pregnancy [Z36.0] Encounter for antenatal screening for Diagnosis Z36.0 chromosomal anomalies ICD10CM Pregnancy [Z36.1] Encounter for antenatal screening for raised Diagnosis Z36.1 alphafetoprotein level ICD10CM Pregnancy [Z36.2] Encounter for other antenatal screening Diagnosis Z36.2 follow-up ICD10CM Pregnancy [Z36.3] Encounter for antenatal screening for Diagnosis Z36.3 malformations ICD10CM Pregnancy [Z36.4] Encounter for antenatal screening for fetal Diagnosis Z36.4 growth retardation ICD10CM
Page 93 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy [Z36.5] Encounter for antenatal screening for Diagnosis Z36.5 isoimmunization ICD10CM Pregnancy [Z36.81] Encounter for antenatal screening for Diagnosis Z36.81 hydrops fetalis ICD10CM Pregnancy [Z36.82] Encounter for antenatal screening for Diagnosis Z36.82 nuchal translucency ICD10CM Pregnancy [Z36.83] Encounter for fetal screening for Diagnosis Z36.83 congenital cardiac abnormalities ICD10CM Pregnancy [Z36.84] Encounter for antenatal screening for fetal Diagnosis Z36.84 lung maturity ICD10CM Pregnancy [Z36.85] Encounter for antenatal screening for Diagnosis Z36.85 Streptococcus B ICD10CM Pregnancy [Z36.86] Encounter for antenatal screening for Diagnosis Z36.86 cervical length ICD10CM Pregnancy [Z36.87] Encounter for antenatal screening for Diagnosis Z36.87 uncertain dates ICD10CM Pregnancy [Z36.88] Encounter for antenatal screening for fetal Diagnosis Z36.88 macrosomia ICD10CM Pregnancy [Z36.89] Encounter for other specified antenatal Diagnosis Z36.89 screening ICD10CM Pregnancy [Z36.8A] Encounter for antenatal screening for Diagnosis Z36.8A other genetic defects ICD10CM Pregnancy [Z36.9] Encounter for antenatal screening, Diagnosis Z36.9 unspecified ICD10CM Pregnancy Diagnosis 9279009 Extra-amniotic pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 9899009 Ovarian pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 14418008 Precocious pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 16356006 Multiple pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 29399001 Elderly primigravida (finding) SNOMED CT US Edition Pregnancy Diagnosis 31601007 Combined pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 34801009 Ectopic pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 38720006 Septuplet pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 41587001 Third trimester pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 41991004 Angiectasis pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 43990006 Sextuplet pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 44782008 Molar pregnancy (disorder) SNOMED CT US Edition
Page 94 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy Diagnosis 45307008 Extrachorial pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 47200007 High risk pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 57630001 First trimester pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 58532003 Unwanted pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 59466002 Second trimester pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 60000008 Mesometric pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 60810003 Quadruplet pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 64254006 Triplet pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 65147003 Twin pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 65727000 Intrauterine pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 69532007 Mural pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 72892002 Normal pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 77386006 Pregnant (finding) SNOMED CT US Edition Pregnancy Diagnosis 79290002 Cervical pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 79586000 Tubal pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 80997009 Quintuplet pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 82661006 Abdominal pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 83074005 Unplanned pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 87605005 Cornual pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 90968009 Prolonged pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 102872000 Pregnancy on oral contraceptive (finding) SNOMED CT US Edition Pregnancy Diagnosis 102873005 Pregnancy on intrauterine device (finding) SNOMED CT US Edition Pregnancy Diagnosis 102875003 Surrogate pregnancy (finding) SNOMED CT US Edition Pregnancy Number of pregnancies, currently pregnant Diagnosis 127363001 (finding) SNOMED CT US Edition
Page 95 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy Diagnosis 169560008 Pregnant - urine test confirms (finding) SNOMED CT US Edition Pregnancy Diagnosis 169561007 Pregnant - blood test confirms (finding) SNOMED CT US Edition Pregnancy Diagnosis 169562000 Pregnant - vaginal examination confirms (finding) SNOMED CT US Edition Pregnancy Diagnosis 169563005 Pregnant - on history (finding) SNOMED CT US Edition Pregnancy Diagnosis 169564004 Pregnant - on abdominal palpation (finding) SNOMED CT US Edition Pregnancy Diagnosis 169565003 Pregnant - planned (finding) SNOMED CT US Edition Pregnancy Diagnosis 169566002 Pregnant - unplanned - wanted (finding) SNOMED CT US Edition Pregnancy Diagnosis 169567006 Pregnant -unplanned-not wanted (finding) SNOMED CT US Edition Pregnancy Unplanned pregnancy unknown if child is wanted Diagnosis 169568001 (finding) SNOMED CT US Edition Pregnancy Diagnosis 198624007 Membranous pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 198626009 Mesenteric pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 198627000 Angular pregnancy (disorder) SNOMED CT US Edition Pregnancy Diagnosis 199715003 Grand multiparity with antenatal problem (finding) SNOMED CT US Edition Pregnancy Diagnosis 237233002 Concealed pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 237238006 Pregnancy with uncertain dates (finding) SNOMED CT US Edition Pregnancy Diagnosis 237239003 Low risk pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 237240001 Teenage pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 237241002 Viable pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 237242009 Non-viable pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 237244005 Single pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 239101008 Pregnancy eruption (disorder) SNOMED CT US Edition Pregnancy Diagnosis 248985009 Presentation of pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 281307002 Uncertain viability of pregnancy (finding) SNOMED CT US Edition Pregnancy Diagnosis 314204000 Early stage of pregnancy (finding) SNOMED CT US Edition
Page 96 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator
Numerator Value Set Name Code Definition Code System Pregnancy Multiple pregnancy involving intrauterine Diagnosis 442478007 pregnancy and tubal pregnancy (disorder) SNOMED CT US Edition
Page 97 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System Non-live Births O00.0 [O00.0] Abdominal pregnancy ICD10CM
Non-live Births O00.00 [O00.00] Abdominal pregnancy without intrauterine pregnancy ICD10CM
Non-live Births O00.01 [O00.01] Abdominal pregnancy with intrauterine pregnancy ICD10CM Non-live Births O00.1 [O00.1] Tubal pregnancy ICD10CM
Non-live Births O00.10 [O00.10] Tubal pregnancy without intrauterine pregnancy ICD10CM [O00.101] Right tubal pregnancy without intrauterine Non-live Births O00.101 pregnancy ICD10CM
Non-live Births O00.102 [O00.102] Left tubal pregnancy without intrauterine pregnancy ICD10CM [O00.109] Unspecified tubal pregnancy without intrauterine Non-live Births O00.109 pregnancy ICD10CM Non-live Births O00.11 [O00.11] Tubal pregnancy with intrauterine pregnancy ICD10CM
Non-live Births O00.111 [O00.111] Right tubal pregnancy with intrauterine pregnancy ICD10CM
Non-live Births O00.112 [O00.112] Left tubal pregnancy with intrauterine pregnancy ICD10CM [O00.119] Unspecified tubal pregnancy with intrauterine Non-live Births O00.119 pregnancy ICD10CM Non-live Births O00.2 [O00.2] Ovarian pregnancy ICD10CM
Non-live Births O00.20 [O00.20] Ovarian pregnancy without intrauterine pregnancy ICD10CM [O00.201] Right ovarian pregnancy without intrauterine Non-live Births O00.201 pregnancy ICD10CM [O00.202] Left ovarian pregnancy without intrauterine Non-live Births O00.202 pregnancy ICD10CM [O00.209] Unspecified ovarian pregnancy without intrauterine Non-live Births O00.209 pregnancy ICD10CM Non-live Births O00.21 [O00.21] Ovarian pregnancy with intrauterine pregnancy ICD10CM
Non-live Births O00.211 [O00.211] Right ovarian pregnancy with intrauterine pregnancy ICD10CM
Non-live Births O00.212 [O00.212] Left ovarian pregnancy with intrauterine pregnancy ICD10CM [O00.219] Unspecified ovarian pregnancy with intrauterine Non-live Births O00.219 pregnancy ICD10CM Non-live Births O00.8 [O00.8] Other ectopic pregnancy ICD10CM [O00.80] Other ectopic pregnancy without intrauterine Non-live Births O00.80 pregnancy ICD10CM
Non-live Births O00.81 [O00.81] Other ectopic pregnancy with intrauterine pregnancy ICD10CM Non-live Births O00.9 [O00.9] Ectopic pregnancy, unspecified ICD10CM [O00.90] Unspecified ectopic pregnancy without intrauterine Non-live Births O00.90 pregnancy ICD10CM [O00.91] Unspecified ectopic pregnancy with intrauterine Non-live Births O00.91 pregnancy ICD10CM Non-live Births O01.0 [O01.0] Classical hydatidiform mole ICD10CM
98 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System Non-live Births O01.1 [O01.1] Incomplete and partial hydatidiform mole ICD10CM Non-live Births O01.9 [O01.9] Hydatidiform mole, unspecified ICD10CM Non-live Births O02.0 [O02.0] Blighted ovum and nonhydatidiform mole ICD10CM Non-live Births O02.1 [O02.1] Missed abortion ICD10CM [O02.81] Inappropriate change in quantitative human chorionic Non-live Births O02.81 gonadotropin (hCG) in early pregnancy ICD10CM Non-live Births O02.89 [O02.89] Other abnormal products of conception ICD10CM Non-live Births O02.9 [O02.9] Abnormal product of conception, unspecified ICD10CM [O03.0] Genital tract and pelvic infection following incomplete Non-live Births O03.0 spontaneous abortion ICD10CM [O03.1] Delayed or excessive hemorrhage following incomplete Non-live Births O03.1 spontaneous abortion ICD10CM
Non-live Births O03.2 [O03.2] Embolism following incomplete spontaneous abortion ICD10CM [O03.30] Unspecified complication following incomplete Non-live Births O03.30 spontaneous abortion ICD10CM
Non-live Births O03.31 [O03.31] Shock following incomplete spontaneous abortion ICD10CM [O03.32] Renal failure following incomplete spontaneous Non-live Births O03.32 abortion ICD10CM [O03.33] Metabolic disorder following incomplete spontaneous Non-live Births O03.33 abortion ICD10CM [O03.34] Damage to pelvic organs following incomplete Non-live Births O03.34 spontaneous abortion ICD10CM [O03.35] Other venous complications following incomplete Non-live Births O03.35 spontaneous abortion ICD10CM [O03.36] Cardiac arrest following incomplete spontaneous Non-live Births O03.36 abortion ICD10CM
Non-live Births O03.37 [O03.37] Sepsis following incomplete spontaneous abortion ICD10CM [O03.38] Urinary tract infection following incomplete Non-live Births O03.38 spontaneous abortion ICD10CM [O03.39] Incomplete spontaneous abortion with other Non-live Births O03.39 complications ICD10CM
Non-live Births O03.4 [O03.4] Incomplete spontaneous abortion without complication ICD10CM [O03.5] Genital tract and pelvic infection following complete or Non-live Births O03.5 unspecified spontaneous abortion ICD10CM [O03.6] Delayed or excessive hemorrhage following complete Non-live Births O03.6 or unspecified spontaneous abortion ICD10CM [O03.7] Embolism following complete or unspecified Non-live Births O03.7 spontaneous abortion ICD10CM [O03.80] Unspecified complication following complete or Non-live Births O03.80 unspecified spontaneous abortion ICD10CM [O03.81] Shock following complete or unspecified spontaneous Non-live Births O03.81 abortion ICD10CM [O03.82] Renal failure following complete or unspecified Non-live Births O03.82 spontaneous abortion ICD10CM
99 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System [O03.83] Metabolic disorder following complete or unspecified Non-live Births O03.83 spontaneous abortion ICD10CM [O03.84] Damage to pelvic organs following complete or Non-live Births O03.84 unspecified spontaneous abortion ICD10CM [O03.85] Other venous complications following complete or Non-live Births O03.85 unspecified spontaneous abortion ICD10CM [O03.86] Cardiac arrest following complete or unspecified Non-live Births O03.86 spontaneous abortion ICD10CM [O03.87] Sepsis following complete or unspecified spontaneous Non-live Births O03.87 abortion ICD10CM [O03.88] Urinary tract infection following complete or Non-live Births O03.88 unspecified spontaneous abortion ICD10CM [O03.89] Complete or unspecified spontaneous abortion with Non-live Births O03.89 other complications ICD10CM [O03.9] Complete or unspecified spontaneous abortion without Non-live Births O03.9 complication ICD10CM [O04.5] Genital tract and pelvic infection following (induced) Non-live Births O04.5 termination of pregnancy ICD10CM [O04.6] Delayed or excessive hemorrhage following (induced) Non-live Births O04.6 termination of pregnancy ICD10CM
Non-live Births O04.7 [O04.7] Embolism following (induced) termination of pregnancy ICD10CM [O04.80] (Induced) termination of pregnancy with unspecified Non-live Births O04.80 complications ICD10CM
Non-live Births O04.81 [O04.81] Shock following (induced) termination of pregnancy ICD10CM [O04.82] Renal failure following (induced) termination of Non-live Births O04.82 pregnancy ICD10CM [O04.83] Metabolic disorder following (induced) termination of Non-live Births O04.83 pregnancy ICD10CM [O04.84] Damage to pelvic organs following (induced) Non-live Births O04.84 termination of pregnancy ICD10CM [O04.85] Other venous complications following (induced) Non-live Births O04.85 termination of pregnancy ICD10CM [O04.86] Cardiac arrest following (induced) termination of Non-live Births O04.86 pregnancy ICD10CM
Non-live Births O04.87 [O04.87] Sepsis following (induced) termination of pregnancy ICD10CM [O04.88] Urinary tract infection following (induced) termination Non-live Births O04.88 of pregnancy ICD10CM [O04.89] (Induced) termination of pregnancy with other Non-live Births O04.89 complications ICD10CM [O07.0] Genital tract and pelvic infection following failed Non-live Births O07.0 attempted termination of pregnancy ICD10CM [O07.1] Delayed or excessive hemorrhage following failed Non-live Births O07.1 attempted termination of pregnancy ICD10CM [O07.2] Embolism following failed attempted termination of Non-live Births O07.2 pregnancy ICD10CM
100 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System [O07.30] Failed attempted termination of pregnancy with Non-live Births O07.30 unspecified complications ICD10CM [O07.31] Shock following failed attempted termination of Non-live Births O07.31 pregnancy ICD10CM [O07.32] Renal failure following failed attempted termination of Non-live Births O07.32 pregnancy ICD10CM [O07.33] Metabolic disorder following failed attempted Non-live Births O07.33 termination of pregnancy ICD10CM [O07.34] Damage to pelvic organs following failed attempted Non-live Births O07.34 termination of pregnancy ICD10CM [O07.35] Other venous complications following failed Non-live Births O07.35 attempted termination of pregnancy ICD10CM [O07.36] Cardiac arrest following failed attempted termination Non-live Births O07.36 of pregnancy ICD10CM [O07.37] Sepsis following failed attempted termination of Non-live Births O07.37 pregnancy ICD10CM [O07.38] Urinary tract infection following failed attempted Non-live Births O07.38 termination of pregnancy ICD10CM [O07.39] Failed attempted termination of pregnancy with other Non-live Births O07.39 complications ICD10CM [O07.4] Failed attempted termination of pregnancy without Non-live Births O07.4 complication ICD10CM [O08.0] Genital tract and pelvic infection following ectopic and Non-live Births O08.0 molar pregnancy ICD10CM [O08.1] Delayed or excessive hemorrhage following ectopic and Non-live Births O08.1 molar pregnancy ICD10CM
Non-live Births O08.2 [O08.2] Embolism following ectopic and molar pregnancy ICD10CM Non-live Births O08.3 [O08.3] Shock following ectopic and molar pregnancy ICD10CM
Non-live Births O08.4 [O08.4] Renal failure following ectopic and molar pregnancy ICD10CM [O08.5] Metabolic disorders following an ectopic and molar Non-live Births O08.5 pregnancy ICD10CM [O08.6] Damage to pelvic organs and tissues following an Non-live Births O08.6 ectopic and molar pregnancy ICD10CM [O08.7] Other venous complications following an ectopic and Non-live Births O08.7 molar pregnancy ICD10CM [O08.81] Cardiac arrest following an ectopic and molar Non-live Births O08.81 pregnancy ICD10CM Non-live Births O08.82 [O08.82] Sepsis following ectopic and molar pregnancy ICD10CM [O08.83] Urinary tract infection following an ectopic and molar Non-live Births O08.83 pregnancy ICD10CM [O08.89] Other complications following an ectopic and molar Non-live Births O08.89 pregnancy ICD10CM [O08.9] Unspecified complication following an ectopic and Non-live Births O08.9 molar pregnancy ICD10CM Non-live Births Z37.1 [Z37.1] Single stillbirth ICD10CM Non-live Births Z37.4 [Z37.4] Twins, both stillborn ICD10CM
101 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System Non-live Births Z37.7 [Z37.7] Other multiple births, all stillborn ICD10CM SNOMED CT US Non-live Births 127009 Miscarriage with laceration of cervix (disorder) Edition Endometritis following molar AND/OR ectopic pregnancy SNOMED CT US Non-live Births 172001 (disorder) Edition SNOMED CT US Non-live Births 195005 Illegal abortion with endometritis (disorder) Edition Pulmonary embolism following molar AND/OR ectopic SNOMED CT US Non-live Births 663008 pregnancy (disorder) Edition SNOMED CT US Non-live Births 1469007 Miscarriage with urinary tract infection (disorder) Edition SNOMED CT US Non-live Births 1592005 Failed attempted abortion with uremia (disorder) Edition Miscarriage complicated by delayed and/or excessive SNOMED CT US Non-live Births 2781009 hemorrhage (disorder) Edition Complication following molar AND/OR ectopic pregnancy SNOMED CT US Non-live Births 2989004 (disorder) Edition SNOMED CT US Non-live Births 3230006 Illegal abortion with afibrinogenemia (disorder) Edition SNOMED CT US Non-live Births 3634007 Legal abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Non-live Births 3798002 Premature birth of identical twins, both stillborn (finding) Edition Failed attempted abortion with acute yellow atrophy of liver SNOMED CT US Non-live Births 3873005 (disorder) Edition SNOMED CT US Non-live Births 4451004 Illegal abortion with renal tubular necrosis (disorder) Edition SNOMED CT US Non-live Births 4576001 Legal abortion complicated by renal failure (disorder) Edition Amniotic fluid embolism following molar AND/OR ectopic SNOMED CT US Non-live Births 5010004 pregnancy (disorder) Edition SNOMED CT US Non-live Births 5577003 Legal abortion with laceration of bowel (disorder) Edition SNOMED CT US Non-live Births 5792004 Legal abortion with acute yellow atrophy of liver (disorder) Edition Failed attempted abortion complicated by metabolic disorder SNOMED CT US Non-live Births 5939002 (disorder) Edition SNOMED CT US Non-live Births 5945005 Legal abortion with urinary tract infection (disorder) Edition SNOMED CT US Non-live Births 6134000 Illegal abortion with oliguria (disorder) Edition Electrolyte imbalance following molar AND/OR ectopic SNOMED CT US Non-live Births 6509007 pregnancy (disorder) Edition SNOMED CT US Non-live Births 6647006 Legal abortion with defibrination syndrome (disorder) Edition SNOMED CT US Non-live Births 6802007 Illegal abortion with perforation of broad ligament (disorder) Edition
102 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System SNOMED CT US Non-live Births 7000009 Fetal demise from miscarriage (disorder) Edition SNOMED CT US Non-live Births 7166002 Legal abortion with laceration of cervix (disorder) Edition SNOMED CT US Non-live Births 7802000 Illegal abortion without complication (disorder) Edition SNOMED CT US Non-live Births 7809009 Miscarriage with laceration of uterus (disorder) Edition Failed attempted abortion complicated by damage to pelvic SNOMED CT US Non-live Births 7822001 organs AND/OR tissues (disorder) Edition SNOMED CT US Non-live Births 7860005 Stillbirth of mature male (2500 gms. or more) (finding) Edition SNOMED CT US Non-live Births 7910003 Miscarriage with salpingitis (disorder) Edition SNOMED CT US Non-live Births 8071005 Miscarriage with perforation of bowel (disorder) Edition SNOMED CT US Non-live Births 8468007 Legal abortion with uremia (disorder) Edition SNOMED CT US Non-live Births 8670007 Illegal abortion with salpingo-oophoritis (disorder) Edition SNOMED CT US Non-live Births 8996006 Illegal abortion complicated by renal failure (disorder) Edition Salpingitis following molar AND/OR ectopic pregnancy SNOMED CT US Non-live Births 9516007 (disorder) Edition SNOMED CT US Non-live Births 9899009 Ovarian pregnancy (disorder) Edition SNOMED CT US Non-live Births 10058006 Miscarriage with amniotic fluid embolism (disorder) Edition SNOMED CT US Non-live Births 10697004 Miscarriage complicated by renal failure (disorder) Edition SNOMED CT US Non-live Births 11026009 Miscarriage with renal tubular necrosis (disorder) Edition SNOMED CT US Non-live Births 11109001 Miscarriage with uremia (disorder) Edition SNOMED CT US Non-live Births 11373009 Illegal abortion with sepsis (disorder) Edition Failed attempted abortion with amniotic fluid embolism SNOMED CT US Non-live Births 11454006 (disorder) Edition Postoperative shock following molar AND/OR ectopic SNOMED CT US Non-live Births 11669000 pregnancy (disorder) Edition SNOMED CT US Non-live Births 12095001 Legal abortion with cardiac arrest AND/OR failure (disorder) Edition SNOMED CT US Non-live Births 12296009 Legal abortion with intravascular hemolysis (disorder) Edition SNOMED CT US Non-live Births 12394009 Miscarriage with cerebral anoxia (disorder) Edition SNOMED CT US Non-live Births 12983003 Failed attempted abortion with septic shock (disorder) Edition
103 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System SNOMED CT US Non-live Births 13100007 Legal abortion with laceration of uterus (disorder) Edition SNOMED CT US Non-live Births 13384007 Miscarriage complicated by metabolic disorder (disorder) Edition SNOMED CT US Non-live Births 13943000 Failed attempted abortion complicated by embolism (disorder) Edition SNOMED CT US Non-live Births 14022007 Fetal death, affecting management of mother (disorder) Edition SNOMED CT US Non-live Births 14136000 Miscarriage with perforation of broad ligament (disorder) Edition SNOMED CT US Non-live Births 15511008 Legal abortion with parametritis (disorder) Edition SNOMED CT US Non-live Births 15809008 Miscarriage with perforation of uterus (disorder) Edition SNOMED CT US Non-live Births 16038004 Abortion due to Leptospira (disorder) Edition Damage to pelvic organs AND/OR tissues following molar SNOMED CT US Non-live Births 16083003 AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Non-live Births 16607004 Missed abortion (disorder) Edition SNOMED CT US Non-live Births 16714009 Miscarriage with laceration of bowel (disorder) Edition SNOMED CT US Non-live Births 17335003 Illegal abortion with laceration of bowel (disorder) Edition SNOMED CT US Non-live Births 17369002 Miscarriage (disorder) Edition SNOMED CT US Non-live Births 17380002 Failed attempted abortion with acute renal failure (disorder) Edition SNOMED CT US Non-live Births 17433009 Ruptured ectopic pregnancy (disorder) Edition SNOMED CT US Non-live Births 18391007 Elective abortion (disorder) Edition SNOMED CT US Non-live Births 18613002 Miscarriage with septic shock (disorder) Edition SNOMED CT US Non-live Births 18684002 Illegal abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Non-live Births 18872002 Illegal abortion with laceration of cervix (disorder) Edition SNOMED CT US Non-live Births 18894005 Legal abortion with cerebral anoxia (disorder) Edition SNOMED CT US Non-live Births 19099008 Failed attempted abortion with laceration of bladder (disorder) Edition SNOMED CT US Non-live Births 19169002 Miscarriage in first trimester (disorder) Edition Failed attempted abortion with perforation of bladder SNOMED CT US Non-live Births 19228003 (disorder) Edition SNOMED CT US Non-live Births 19363005 Failed attempted abortion with blood-clot embolism (disorder) Edition
104 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System SNOMED CT US Non-live Births 19564003 Illegal abortion with laceration of periurethral tissue (disorder) Edition Intravascular hemolysis following molar AND/OR ectopic SNOMED CT US Non-live Births 20084001 pregnancy (disorder) Edition SNOMED CT US Non-live Births 20216003 Legal abortion with perforation of uterus (disorder) Edition SNOMED CT US Non-live Births 20483002 Legal abortion with renal tubular necrosis (disorder) Edition SNOMED CT US Non-live Births 21280005 Legal abortion with postoperative shock (disorder) Edition SNOMED CT US Non-live Births 21334005 Failed attempted abortion with oliguria (disorder) Edition SNOMED CT US Non-live Births 21360006 Miscarriage with afibrinogenemia (disorder) Edition SNOMED CT US Non-live Births 21604008 Illegal abortion with blood-clot embolism (disorder) Edition SNOMED CT US Non-live Births 21737000 Retained fetal tissue (disorder) Edition SNOMED CT US Non-live Births 22046002 Illegal abortion with salpingitis (disorder) Edition SNOMED CT US Non-live Births 23401002 Illegal abortion with perforation of bowel (disorder) Edition SNOMED CT US Non-live Births 23793007 Miscarriage without complication (disorder) Edition Septic shock following molar AND/OR ectopic pregnancy SNOMED CT US Non-live Births 24051007 (disorder) Edition SNOMED CT US Non-live Births 24444009 Failed attempted abortion with sepsis (disorder) Edition SNOMED CT US Non-live Births 25032009 Failed attempted abortion with laceration of cervix (disorder) Edition SNOMED CT US Non-live Births 25404008 Illegal abortion with electrolyte imbalance (disorder) Edition SNOMED CT US Non-live Births 25519006 Illegal abortion with perforation of vagina (disorder) Edition SNOMED CT US Non-live Births 25691001 Legal abortion with septic shock (disorder) Edition Septic embolism following molar AND/OR ectopic pregnancy SNOMED CT US Non-live Births 25725007 (disorder) Edition SNOMED CT US Non-live Births 26010008 Legal abortion with pelvic peritonitis (disorder) Edition Failed attempted abortion complicated by genital-pelvic SNOMED CT US Non-live Births 26224003 infection (disorder) Edition Renal tubular necrosis following molar AND/OR ectopic SNOMED CT US Non-live Births 26235008 pregnancy (disorder) Edition Failed attempted termination of pregnancy complicated by SNOMED CT US Non-live Births 26623000 delayed and/or excessive hemorrhage (disorder) Edition SNOMED CT US Non-live Births 26743002 Illegal abortion complicated by embolism (disorder) Edition
105 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Exclusions
Exclusion Value Set Name Code Definition Code System SNOMED CT US Non-live Births 27015006 Legal abortion with amniotic fluid embolism (disorder) Edition SNOMED CT US Non-live Births 27068000 Failed attempted abortion with afibrinogenemia (disorder) Edition SNOMED CT US Non-live Births 27169005 Legal abortion complicated by shock (disorder) Edition Damage to bladder following molar AND/OR ectopic pregnancy SNOMED CT US Non-live Births 27552001 (disorder) Edition SNOMED CT US Non-live Births 28196006 Uremia following molar AND/OR ectopic pregnancy (disorder) Edition Blood clot embolism following molar AND/OR ectopic SNOMED CT US Non-live Births 28735000 pregnancy (disorder) Edition SNOMED CT US Non-live Births 28996007 Stillbirth of premature female (1000-2499 gms.) (finding) Edition Failed attempted abortion complicated by renal failure SNOMED CT US Non-live Births 29421008 (disorder) Edition SNOMED CT US Non-live Births 29583006 Illegal abortion with laceration of broad ligament (disorder) Edition SNOMED CT US Non-live Births 29908007 Oliguria following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Non-live Births 29950007 Legal abortion with septic embolism (disorder) Edition SNOMED CT US Non-live Births 29995000 Illegal abortion with fat embolism (disorder) Edition SNOMED CT US Non-live Births 30479005 Legal abortion with afibrinogenemia (disorder) Edition SNOMED CT US Non-live Births 30806007 Miscarriage with endometritis (disorder) Edition SNOMED CT US Non-live Births 31207002 Self-induced abortion (disorder) Edition SNOMED CT US Non-live Births 33046001 Illegal abortion with urinary tract infection (disorder) Edition Air embolism following molar AND/OR ectopic pregnancy SNOMED CT US Non-live Births 33128005 (disorder) Edition SNOMED CT US Non-live Births 33490001 Failed attempted abortion with fat embolism (disorder) Edition SNOMED CT US Non-live Births 33561005 Illegal abortion with acute renal failure (disorder) Edition SNOMED CT US Non-live Births 34270000 Miscarriage complicated by shock (disorder) Edition SNOMED CT US Non-live Births 34367002 Failed attempted abortion with perforation of bowel (disorder) Edition Failed attempted abortion with defibrination syndrome SNOMED CT US Non-live Births 34478009 (disorder) Edition
106 of 106 January 2020