You might look at codes 661.01 which is arrest of descent delivered and our OB's use 659.71 for fetal distress or intolerance of labor. The baby's heart tones are monitored during delivery process and if they begin to decelerate that is an indication of too much stress on the baby and a C section is usually performed.
Arrested active phase of labor Arrested active phase of labor, undelivered ICD-10-CM O62.1 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 817 Other antepartum diagnoses with o.r. Procedures with mcc
“Arrest of labor:” This does not index to “transverse arrest,” which codes as “O64.0, Obstructed labor due to incomplete rotation of fetal head,” nor to O63.0, Prolonged first stage (of labor) or O63.1, Prolonged second stage (of labor). “Chorio:” 2017 edits of the ICD-10-CM codes gave us trimester-specific chorioamnionitis codes.
2019 ICD-10-CM Diagnosis Code P03.1 Newborn affected by other malpresentation, malposition and disproportion during labor and delivery 2017 - Revised Code Billable/Specific Code Code on Newborn Record ICD-10-CM Coding Rules P03.1 should be used on the newborn record - not on the maternal record.
The NCCH will consider improvements to the Alphabetic Index for failure to progress in labour for a future edition of ICD-10-AM. In the absence of documentation of an underlying cause for failure to progress, the correct code to assign is O62. 9 Abnormalities of forces of labour, unspecified.
Primary inadequate contractionsICD-10 code O62. 0 for Primary inadequate contractions is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
Encounter for other specified aftercareICD-10 code Z51. 89 for Encounter for other specified aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 Code for Preterm labor without delivery- O60. 0- Codify by AAPC.
Definition. Failure to progress (FTP) happens when labor slows and delays delivery of the baby. The cervix may not thin and open as it should. This makes it hard for the baby to move down the birth canal. Fetal Descent Stations (Birth Presentation)
2022 ICD-10-CM Diagnosis Code O42. 02: Full-term premature rupture of membranes, onset of labor within 24 hours of rupture.
ICD-10 | Cerebral infarction, unspecified (I63. 9)
ICD-10-PCS will be the official system of assigning codes to procedures associated with hospital utilization in the United States. ICD-10-PCS codes will support data collection, payment and electronic health records. ICD-10-PCS is a medical classification coding system for procedural codes.
ICD-10 code R53. 1 for Weakness is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Objective: Threatened preterm labor is a condition in which regular uterine contractions occur at least 1 time in 10 minutes and persist for more than 30 minutes before completion of 37 weeks of gestation without dilatation of the cervix.
As a result the simple ICD-9-CM procedure code for labor induction, 73.4 (“Medical Induction of Labor”) has been replaced with the rather generic and opaque ICD-10-PCS procedure code: 3E033VJ (“Introduction of other hormone into peripheral vein, percutaneous approach”).
O60.1ICD-10 Code for Preterm labor with preterm delivery- O60. 1- Codify by AAPC.
If there is no indication (or more precisely, no medical indication –“OB going on vacation next week” probably isn’t really a legitimate indication), “O82, Encounter for cesarean delivery without indication” is the code.
There are O codes indicating that a condition in any other body system is impacting the pregnancy. If the rest of Chapter 15 doesn’t have a specific code, numerous “obstetric conditions not elsewhere classified which are complicating pregnancy, childbirth, and the puerperium” can be found in O94-O9A.
For cesarean sections, you choose either the condition that resulted in the performance of the cesarean or the reason the patient was admitted, even if it was unrelated to the condition resulting in the cesarean. Cesareans warrant a deeper dive in general.
In that case, you only use Z39.0, Encounter for care and examination of mother immediately after delivery, since she didn’t actually deliver during this admission and wasn’t technically pregnant during this admission.
She was a physician advisor of a large multi-hospital system for four years before transitioning to independent consulting in July 2016. Her passion is educating CDI specialists, coders, and healthcare providers with engaging, case-based presentations on documentation, CDI, and denials management topics. She has written numerous articles and serves as the co-host of Talk Ten Tuesdays, a weekly national podcast. Dr. Remer is a member of the ICD10monitor editorial board, a former member of the ACDIS Advisory Board, and the board of directors of the American College of Physician Advisors.
The primary diagnosis (PD) is always an “O” (for obstetrics) code. If she came in for an “unrelated” condition, there should be an O code – as a physician, I cannot recall a single patient who went on to deliver during an admission whose PD was not a complication of (or complicating) the pregnancy.