15. b. 4). Code O80 Encounter for full term uncomplicated delivery is assigned as the principal diagnosis for delivery admissions that meet the following criteria (ICD-10-CM Coding Guideline I.C.
9 Multiple delivery, unspecified.
Pregnant state, incidental1 Pregnant state, incidental.
ICD-10-CM Code for Single live birth Z37. 0.
ICD-10 code O80 for Encounter for full-term uncomplicated delivery is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
ICD-10 code Z3A. 39 for 39 weeks gestation of pregnancy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 code Z32. 01 for Encounter for pregnancy test, result positive is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code Z33. 1 This code is a secondary code only for use when the pregnancy is in no way complicating the reason for visit. Otherwise, a code from the obstetric chapter is required.
The only exception to this is if a pregnant woman is seen for an unrelated condition. In such cases, code Z33. 1 Pregnant State, Incidental should be used after the primary reason for the visit.
Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant.
LIVE BIRTH: means the complete expulsion or extraction from its mother. of a product of human conception, irrespective of the duration of pregnancy, that, after such expulsion or extraction, breathes or shows any other evidence.
Table: CodeICD10 Code (*)Code Description (*)O82Single delivery by caesarean sectionO82.0Delivery by elective caesarean sectionO82.1Delivery by emergency caesarean sectionO82.2Delivery by caesarean hysterectomy2 more rows
Z3A.40ICD-10-CM Code for 40 weeks gestation of pregnancy Z3A. 40.
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”).
Z3A.37ICD-10 Code for 37 weeks gestation of pregnancy- Z3A. 37- Codify by AAPC.
The notes at the beginning of Chapter 15 Pregnancy, Childbirth and the Puerperium indicate that in addition to the Chapter 15 codes, the coder should assign a code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. The guidelines provide further direction, ...
Coding of vaginal deliveries requires a minimum of 3 codes; a principal diagnosis code, an outcome of delivery code and a weeks of gestation code. Fortunately, there are guidelines and notes to provide direction in properly assigning these codes.
Code O80 Encounter for full term uncomplicated delivery is assigned as the principal diagnosis for delivery admissions that meet the following criteria (ICD-10-CM Coding Guideline I.C.15.n):
Code O80 Encounter for full term uncomplicated delivery is assigned as the principal diagnosis for delivery admissions that meet the following criteria (ICD-10-CM Coding Guideline I.C.15.n): 1 Vaginal delivery at full term 2 No accompanying instrumentation (episiotomy is ok) 3 Single, healthy infant 4 No unresolved antepartum complications 5 No complications of labor or delivery 6 No postpartum complications during the delivery admission
An assisted vaginal delivery is one that is accomplished with the assistance of instrumentation such as forceps or vacuum extraction. Just like a spontaneous delivery, this procedure is reported with a code from the Obstetrics section of ICD-10-PCS because it is a procedure performed on the fetus, which is considered a product of conception (see ICD-10-PCS coding guideline C1).
As with the code for spontaneous vaginal delivery, the ICD-10-PCS code for episiotomies will be the same every time, 0W8NXZZ. Looking at the table below you can see that there is only one option for the value for each character in the code.
For delivery admissions, the principal diagnosis is the condition that prompted the admission. If multiple conditions prompted the admission, the condition most related to the delivery is the principal diagnosis (ICD-10-CM Coding Guideline I.C.15.b.4).
Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, “Pregnancy, Childbirth, and the Puerperium.” It includes categories O00–O9A arranged in the following blocks:
Codes from this category also require either a fifth or sixth character specifying the trimester. Code O30.0, Twin pregnancy, is further classified by whether the twin pregnancy is monoamniotic/monochorionic, conjoined twins, other twin pregnancy, or unspecified twin pregnancy.
The obstetrics section is one of 16 sections in ICD-10-PCS and is categorized as one of the nine medical and surgical-related procedure sections. Similar to other ICD-10-PCS codes, obstetric procedure codes are seven characters in length with each of the seven characters representing an aspect of the procedure. The diagram above illustrates the seven characters of a code from the obstetrics section.
Because certain obstetric conditions or complications occur during certain trimesters, not all conditions include codes for all three trimesters.
The assignment of the final character for trimester is based on the trimester for the current admission or encounter. This guideline applies to the assignment of trimester for pre-existing conditions as well as those that develop during or are due to the pregnancy.
Similar to ICD-9-CM, ICD-10-CM obstetric codes in chapter 15 have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in addition to chapter 15 codes to further specify conditions.
Outcome of delivery codes (Z37.0–Z37.9) are intended for use as an additional code to identify the outcome of delivery on the mother’s records. These codes are not to be used on subsequent records or on the newborn record.