Diagnosis Code O63.0. ICD-10: O63.0. Short Description: Prolonged first stage (of labor) Long Description: Prolonged first stage (of labor) This is the 2019 version of the ICD-10-CM diagnosis code O63.0. Valid for Submission. The code O63.0 is valid for submission for HIPAA-covered transactions.
Valid for Submission. O63.0 is a billable code used to specify a medical diagnosis of prolonged first stage (of labor). The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code O63.0 might also be used to specify conditions or terms like failure to progress in first stage of labor, ...
Latent labor is the first phase of “true” labor. The correct code for this case is Z34.0Supervision of normal first pregnancy A Guide to Obstetrical Coding
For cases that go on to have a Cesarean section the most responsible diagnosis is the indication for the Cesarean section — the underlying maternal or fetal condition. In this case, it is the preeclampsia. The diagnosis code for failed induction of labor is captured as diagnosis type (1). 4.9.1 Case study 1 O75.881 (M)
during latent phase of labor O62.0.primary O62.0.
38.
O60. 10 Preterm labor with preterm delivery, unspecif... O60. 10X0 Preterm labor with preterm delivery, unspecif...
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.
Hypertonic, incoordinate, and prolonged uterine contractions O62. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O62. 4 became effective on October 1, 2021.
What is the latent phase of labour? The start of labour is called the latent phase. This is when your cervix becomes soft and thin as it gets ready to open up (dilate) for your baby to be born. For this to happen, you'll start having contractions, which may be irregular and vary in frequency, strength and length.
Chances are you have heard of prodromal labor but probably by other names — false labor, pre-labor, and latent labor. These contractions are much like the ones associated with active childbirth, but they will not result in the birth of your child — yet.
In a prodromal labor, the early phase of labor (cervix dilates from closed to approximately three-to-four centimeters) is prolonged with contractions that do not increase in intensity. Prodromal labor can tire you out and use up the energy you'll need for active labor and delivery.
Prodromal labor is labor that starts and stops before fully active labor begins. It's often called “false labor,” but this is a poor description. Medical professionals recognize that the contractions are real, but they come and go and labor may not progress.
According to Friedman et al., latent stage considered to be prolonged if takes >20 hours for nulliparous women and >14 hours for multiparous women. However, prolonged latent phase does not usually lead to any clinically significant adverse events for mother or the infant.
We defined prolonged first stage of labour as crossing the action line of the partograph in the first stage of labour, which is after the latent phase and before reaching full dilatation of the cervix.
During the 1st stage of labour, contractions make your cervix gradually open (dilate). This is usually the longest stage of labour. At the start of labour, your cervix starts to soften so it can open. This is called the latent phase and you may feel irregular contractions.
O63.0 is a billable diagnosis code used to specify a medical diagnosis of prolonged first stage (of labor). The code O63.0 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The code O63.0 is applicable to female patients aged 12 through 55 years inclusive.
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
They can cause a risk to the mother, baby, or both. Possible complications include. Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy. Problems with the umbilical cord.
Abnormal heart rate of the baby. Often, an abnormal heart rate is not a problem. But if the heart rate gets very fast or very slow, it can be a sign that your baby is not getting enough oxygen or that there are other problems.
Preterm (premature) labor, when your labor starts before 37 completed weeks of pregnancy
If you have problems in childbirth, your health care provider may need to give you medicines to induce or speed up labor, use tools to help guide the baby out of the birth canal, or deliver the baby by Cesarean section.
Because it is difficult in many cases to be certain exactly when labor began, there is no unanimously accepted definition of the onset of labor.1 This results in variations as to the time of onset that is recorded on the patient chart, which in turn presents challenges for coders in calculating duration of labor, particularly duration of the first stage and precipitate labor.
Preterm labor is the presence of contractions occurring before 37 completed weeks of gestation, of sufficient strength and frequency to effect progressive effacement and dilation of the cervix.
Obstetrical discharges represent a significant portion of the abstracts in the Discharge Abstract Database (DAD). Obstetrical patients are unique from other acute care patients in hospital as they are not “sick” per se. This makes the coding and assignment of diagnosis typing in the obstetrical population somewhat different from that of the general population. To add to this, documentation is often a problem on obstetrical charts — lack of a diagnostic statement, conflicting information, inappropriate application of definitions, etc. For these reasons, the selection of codes for obstetrics is often based on criteria as set out in the
The term “irritable uterus” is typically used to describe irregular contractions that occur during pregnancy prior to the onset of labor. These contractions are usually an indication of Braxton- Hicks contractions (the uterine muscle practising for labor) or they may indicate labor contractions that, left untreated, may lead to delivery. As long as these contractions are not affecting the cervix there is no risk of preterm labor (i.e., this would be false labor).
The term “irritable uterus” is typically used to describe irregular contractions that occur during pregnancy prior to the onset of labor. These contractions are usually an indication of Braxton-Hicks contractions (the uterine muscle practising for labor) or they may indicate labor contractions that, left untreated, may lead to delivery. As long as these contractions are not affecting the cervix there is no risk of preterm labor (i.e., this would be false labor).
Between 50% and 70% of patients will go into labor within 48 hours. In 80% to 90% of cases, labor begins within 24 hours if the gestational age is near term. However, if gestational age is less than 36 weeks, only 35% to 50% of cases will spontaneously begin labor within 24 hours. Assign a code from category O42 .
False labor is defined as ineffective contractions that resemble labor pains but are not accompanied by effacement and dilation of the cervix. Unlike the contractions of true labor, these contractions are irregular and follow no discernible pattern. They are non-progressive; they don’t become stronger, longer or more frequent. These contractions, also called Braxton-Hicks contractions, tone the uterus in preparation for true labor. Braxton-Hicks contractions are a common cause of false labor.2
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.