Newborn affected by premature rupture of membranes 1 P01.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM P01.1 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of P01.1 - other international versions of ICD-10 P01.1 may differ.
The 2022 edition of ICD-10-CM P01.1 became effective on October 1, 2021.
P01.1 should be used on the newborn record - not on the maternal record.
A: For a patient being taken to the hospital in an ambulance to deliver, assign a code from category Z34, Encounter for supervision of normal pregnancy.
Q: O42 is for premature rupture of membranes, onset of labor. It doesn’t have anything to do with how long the patient was ruptured before delivery, only how long the patient was ruptured before onset of labor. We recently had an outside audit, and they showed this one as an error for us as well. It seems we could use more clarification on how we are seeing that code.
A: Assign code O28.8, Other abnormal findings on antenatal screening of mother. A biophysical profile (BPP) test combines ultrasound and fetal nonstress test and is usually performed when there is an increased risk of pregnancy loss due to conditions, such as multiparity, diabetes, postterm pregnancy, or decreased fetal movements.
A: Sepsis due to COVID-19 in pregnancy requires 2 O codes. Assign the following codes:
A: Post-dates pregnancy is any pregnancy that is 40 weeks or more. In the index, post-dates pregnancy has a nonessential modifier for 40-42 weeks. Code O48.0 should be used for a patient who is 40 weeks, 0 days.
A: Sepsis due to COVID-19 in pregnancy requires 2 O codes. Assign the following codes: 1 81-, Other maternal infectious and parasitic diseases complicating pregnancy, childbirth, and the puerperium 2 89, Other specified sepsis 3 512, Diseases of the respiratory system complicating pregnancy, childbirth, and the puerperium 4 1, COVID-19
A: The codes in category O42 describe preterm premature rupture of membranes (PPROM), which is ROM before 37 completed weeks as well as premature rupture of membranes (PROM), which is ROM before the onset of labor in a term pregnancy. Codes in subcategory O42.0 are used when onset of labor occurs within 24 hours of rupture. Codes in subcategory O42.1 are used when onset of labor is more than 24 hours after rupture. If the length of time between ROM and onset of delivery is not specified, codes in subcategory O42.9 are used.
AROM is coded as 10907ZC, Drainage of amniotic fluid, therapeutic, from products of conception via natural or artificial opening.
It is found in the Measurement and Monitoring section of PCS and the code is 4A1HXCZ. Internal monitoring requires two codes: one for the insertion of the monitoring electrode onto the fetus’s scalp via natural or artificial opening (10H73Z), and one for the monitoring, which is the same as above except for the approach, which is again via natural or artificial opening (4A1H7CZ).
Cervical dilation is accomplished by mechanical means such as a balloon or digital exam, and it is coded as 0U7C7ZZ, Dilation of cervix via natural or artificial opening. This presupposes that the dilation is temporary and no device is left in place.
10E0XZZ, Delivery of products of conception, external approach is reserved for manually assisted vaginal delivery without any instrumentation to assist in removal of the fetus.
OB coding is predicated on two main issues: getting the correct principal diagnosis (PD) and accurately codifying the procedure (s). Also, since ICD-10 did away with “delivered, with or without mention of antepartum complication,” there is no implied delivery in the ICD-10-CM code, so it is very important to indicate that a delivery was performed or you might end up in the wrong DRG. This is accomplished by a “delivery” code (quotation marks to distinguish the medical procedure from the root operation here) and an outcome of delivery code.
Procedures for augmentation of labor are not coded, except for AROM.