2020 ICD-10-CM Diagnosis Code Z38.4

Twin liveborn infant, born outside hospital

    2016 2017 2018 2019 2020 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
  • Z38.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z38.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z38.4 - other international versions of ICD-10 Z38.4 may differ.
ICD-10-CM Coding Rules
  • Z38.4 is applicable to newborns of age 0 years.
The following code(s) above Z38.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z38.4:
  • Z00-Z99
    2020 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z38
    ICD-10-CM Diagnosis Code Z38

    Liveborn infants according to place of birth and type of delivery

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • This category is for use as the principal code on the initial record of a newborn baby. It is to be used for the initial birth record only. It is not to be used on the mother's record.
    Liveborn infants according to place of birth and type of delivery
Approximate Synonyms
  • Twin liveborn born outside hospital prior to admission
  • Twins live birth outside of hospital prior to admission
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z38.4 is considered exempt from POA reporting.
ICD-10-CM Z38.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 795 Normal newborn

Convert Z38.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Z38.4:
  • Infant(s) - see also Infancy
    • liveborn (singleton) Z38.2
      ICD-10-CM Diagnosis Code Z38.2

      Single liveborn infant, unspecified as to place of birth

        2016 2017 2018 2019 2020 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
      Applicable To
      • Single liveborn infant NOS
      • twin Z38.5
        ICD-10-CM Diagnosis Code Z38.5

        Twin liveborn infant, unspecified as to place of birth

          2016 2017 2018 2019 2020 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
        • born outside hospital Z38.4
  • Newborn (infant) (liveborn) (singleton) Z38.2
    ICD-10-CM Diagnosis Code Z38.2

    Single liveborn infant, unspecified as to place of birth

      2016 2017 2018 2019 2020 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
    Applicable To
    • Single liveborn infant NOS
    • twin Z38.5
      ICD-10-CM Diagnosis Code Z38.5

      Twin liveborn infant, unspecified as to place of birth

        2016 2017 2018 2019 2020 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
      • born outside hospital Z38.4

ICD-10-CM Codes Adjacent To Z38.4
Z37.9 Outcome of delivery, unspecified
Z38 Liveborn infants according to place of birth and type of delivery
Z38.0 Single liveborn infant, born in hospital
Z38.00 Single liveborn infant, delivered vaginally
Z38.01 Single liveborn infant, delivered by cesarean
Z38.1 Single liveborn infant, born outside hospital
Z38.2 Single liveborn infant, unspecified as to place of birth
Z38.3 Twin liveborn infant, born in hospital
Z38.30 Twin liveborn infant, delivered vaginally
Z38.31 Twin liveborn infant, delivered by cesarean
Z38.4 Twin liveborn infant, born outside hospital
Z38.5 Twin liveborn infant, unspecified as to place of birth
Z38.6 Other multiple liveborn infant, born in hospital
Z38.61 Triplet liveborn infant, delivered vaginally
Z38.62 Triplet liveborn infant, delivered by cesarean
Z38.63 Quadruplet liveborn infant, delivered vaginally
Z38.64 Quadruplet liveborn infant, delivered by cesarean
Z38.65 Quintuplet liveborn infant, delivered vaginally
Z38.66 Quintuplet liveborn infant, delivered by cesarean
Z38.68 Other multiple liveborn infant, delivered vaginally
Z38.69 Other multiple liveborn infant, delivered by cesarean

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.