ICD-10-CM Code O75.82 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
| ICD-10 from 2011 - 2016 O75.82 is a billable ICD code used to specify a diagnosis of onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with mention of postpartum complication (approximate match)
A labor and delivery without any complications is coded as O80, Encounter for full-term uncomplicated delivery. When no delivery happens during the visit, the code for the pregnancy complication which lead to the visit is coded as the principal diagnosis.
As a result, the simple ICD-9 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”).
Counseling, unspecifiedICD-10 code Z71. 9 for Counseling, unspecified is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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): Vaginal delivery at full term.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.
09 for Observation of other suspected mental condition is a medical classification as listed by WHO under the range -PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION.
Z71. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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 .
Encounter for cesarean delivery without indicationICD-10 code O82 for Encounter for cesarean delivery without indication is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
59400. Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps) and postpartum care.
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
11 or Z51. 12 is the only diagnosis on the line, then the procedure or service will be denied because this diagnosis should be assigned as a secondary diagnosis. When the Primary, First-Listed, Principal or Only diagnosis code is a Sequela diagnosis code, then the claim line will be denied.
Codes from category Z15 should not be used as principal or first-listed codes.
Dietary counseling and surveillanceICD-10 code Z71. 3 for Dietary counseling and surveillance is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code 90785 may be reported with codes for diagnostic evaluation (90791), psychotherapy (90832, 90834, 90837) and group psychotherapy (90853).
90832 – Psychotherapy 30 minutes. 90834 – Psychotherapy 45 minutes. 90837 – Psychotherapy 60 minutes.
ICD-10 Code for Person consulting for explanation of examination or test findings- Z71. 2- Codify by AAPC.
The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.
Complications following (induced) termination of pregnancy (Code range- O04.5 – O04.89) – This includes the complications followed by abortions that are induced intentionally.
The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records.
Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (Code range- O10.011-O10.93) – A pregnancy complication arising due to the patient being hypertensive, having proteinuria (increased levels of protein in urine), hypertensive heart disease, hypertensive CKD or both prior to the pregnancy.
Having a history of infertility, ectopic or molar pregnancies. Having a history of prior complicated pregnancy or pregnancies resulting in a pre-term delivery or a child with a genetic problem. Having a history of an in-utero procedure during previous pregnancy. Having social problems that is a threat to pregnancy.
Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.
If the provider has documented that the pregnancy is incidental to the visit, which means that the reason for the visit was not pregnancy related and the provider did not care for the pregnancy, the code to be used is Z33.1, Pregnant state, incidental and not the chapter 15 codes.
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.
The last pieces of information that should be on every record with a delivery are an outcome of delivery code from Z37 and a listing of weeks of gestation designation from Z3A. The exception to this is when a patient delivers prior to admission to the hospital. 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.
Did complications arise during the delivery or in the postpartum period (defined as from delivery to six weeks post-term)? “Puerperium” means the period between childbirth and the return of the uterus to its normal size. Be sure to select the correct code that designates trimester in childbirth (during labor), or in puerperium (postpartum).
The key is to think about how the situation unfolded and to be able to compliantly code it. This may take querying of a group of providers who we really never asked anything of before, and who will need some training as to how to respond.
As an example, a patient in the third trimester who was involved in a motor vehicle collision and brought in for observation who went on to deliver would warrant the “O9A.22, Injury, poisoning, and certain other consequences of external causes complicating childbirth” code. You then would add the codes that told the remainder of the story: what was injured, the circumstances of the incident, the outcome of the delivery, how many weeks pregnant she was, how she delivered, whether there any other complications, etc.
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.
Code is only used for diagnoses related to pregnancy. O75.82 is a billable ICD code used to specify a diagnosis of onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section.
649.81. Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with or without mention of antepartum condition (approximate match) 649.82.
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
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.
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:
Because certain obstetric conditions or complications occur during certain trimesters, not all conditions include codes for all three trimesters.
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.
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.
There are a total of 12 root operations (third character) in the obstetrics section: Change (2): taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane.
If a delivery occurs during an admission and there is an “in childbirth” option for the obstetric complication being coded, the “in childbirth” code should be assigned. If the complication occurs after delivery , the “in puerperium” code should be assigned if available.