icd-10 code for premature rupture of membranes without delivery

by Rosa Zboncak I 5 min read

Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester. O42. 913 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 O42.

Full Answer

What causes a baby to be born premature?

Some factors that may contribute to this position are:

  • You are expecting multiples ( twins or more). ...
  • There is too much or too little amniotic fluid.
  • The uterus is not normal in shape or has abnormal growths such as fibroids. ...
  • The placenta covers all or part of the cervix (a condition called placenta previa).
  • The baby is preterm. ...
  • Your baby has a birth defect that causes them to not turn head-down.

What are the causes of premature rupture of membranes?

Causes of premature rupture of membranes. 1. Membrane dysplasia: In addition to the factors of membrane itself, vitamin C deficiency, copper deficiency and smoking of pregnant women in early pregnancy can lead to membranes dysplasia. Poor nutrition, vitamin C, D, and ethylaminoglycan (amniotic mesenchymal component) in expectant mothers can ...

Is premature baby the same as a preemie?

The immune system of a premature baby will continue to be immature for the first few months of life and not function as well as that of a term newborn and therefore places them at greater risk for contracting infections, especially viral ones. Protecting your preemie while in the NICU and after discharge is very important.

Is premature birth a preexisting condition?

While many factors are lifestyle-related in preventing premature labor, some women have risks of premature labor and birth because of genetic or other physical reasons. Fibroids, for example, are a common condition that can lead to preterm birth. Fibroid tumors are usually non-cancerous masses that grow in the uterus.

What is ICD-10 code for Preterm labor without delivery?

O60.0ICD-10 code O60. 0 for Preterm labor without delivery is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .

What is the CPT code for premature rupture of membranes?

O42. 1 - Premature rupture of membranes, onset of labor more than 24 hours following rupture. ICD-10-CM.

What is the ICD-10 code for rule out rupture of membranes?

ICD-10 Code for Encounter for suspected problem with amniotic cavity and membrane ruled out- Z03. 71- Codify by AAPC.

What is the ICD-10 code for vaginal bleeding in pregnancy?

O26. 851 - Spotting complicating pregnancy, first trimester. ICD-10-CM.

How do you code a spontaneous rupture of membranes?

If documentation does not specify the length of time between SROM and onset of labor, assign code O42. 9-, Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor.

What is premature rupture of membranes?

Premature rupture of membranes (PROM) is a rupture (breaking open) of the membranes (amniotic sac) before labor begins. If PROM occurs before 37 weeks of pregnancy, it is called preterm premature rupture of membranes (PPROM).

What is the ICD-10 code for preterm labor with third trimester?

ICD-10 Code for Preterm labor third trimester with preterm delivery third trimester, not applicable or unspecified- O60. 14X0- Codify by AAPC.

How is Pprom diagnosed?

How is PPROM diagnosed?pH (acid-base) balance testing. The pH balance of amniotic fluid is different from vaginal fluid and urine. Your healthcare provider will put the fluid on a test strip to check the balance.Looking at a sample under a microscope. When amniotic fluid is dry, it has a fern-like pattern.

What is the ICD-10 code for spontaneous abortion?

O03.9ICD-10 Code for Complete or unspecified spontaneous abortion without complication- O03. 9- Codify by AAPC.

What is the ICD-10 code for vaginal bleeding?

ICD-10 code: N93. 9 Abnormal uterine and vaginal bleeding, unspecified.

How do you code subchorionic hemorrhage?

Answer: You should report O41. 8X20 (Other specified disorders of amniotic fluid and membranes, second trimester, not applicable or unspecified) for a singleton pregnancy. A subchorionic hemorrhage (also called a subchorionic hematoma) is bleeding under one of the membranes (chorion) that surrounds the fetus.

What can you do for a subchorionic hemorrhage?

If you have a subchorionic hematoma found before you're 20 weeks along in your pregnancy, your doctor is likely to recommend that you reduce your activity levels. They might also suggest that you limit any travel. Your doctor will likely recommend hospitalization if any bleeding, cramping, or contractions occur.

What is the ICD code for premature rupture of membranes?

Code is only used for diagnoses related to pregnancy. O42.10 is a billable ICD code used to specify a diagnosis of premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

What is the ICD code for a rupture of the amniotic sac?

The ICD code O42 is used to code Premature rupture of membranes. Premature rupture of membranes (PROM), or pre-labor rupture of membranes, is a condition that can occur in pregnancy. It is defined as rupture of membranes (breakage of the amniotic sac), commonly called breaking of the mother's water (s), more than 1 hour before the onset of labor.

What is the amniotic sac?

The sac (consisting of 2 membranes, the chorion and amnion) contains amniotic fluid, which surrounds and protects the fetus in the uterus (womb). After rupture, the amniotic fluid leaks out of the uterus through the vagina. A fetus surrounded by the amniotic sac which is enclosed by fetal membranes.

What is the code for a cesarean delivery without indication?

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.

What is the O code for pregnancy?

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.

When to use Z39.0 encounter?

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.

Is a primary diagnosis an O code?

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.

What is the ICD code for preterm premature rupture of membranes?

Code is only used for patients in the third trimester of pregnancy (27 to 40 weeks). O42.113 is a billable ICD code used to specify a diagnosis of preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester.

What is the ICD code for a rupture of the amniotic sac?

The ICD code O42 is used to code Premature rupture of membranes. Premature rupture of membranes (PROM), or pre-labor rupture of membranes, is a condition that can occur in pregnancy. It is defined as rupture of membranes (breakage of the amniotic sac), commonly called breaking of the mother's water (s), more than 1 hour before the onset of labor.

What is billable code?

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. Code is only used for female patients. Code is only used for diagnoses related to pregnancy. Code is only used for patients in the third trimester of pregnancy (27 to 40 weeks).

What is the amniotic sac?

The sac (consisting of 2 membranes, the chorion and amnion) contains amniotic fluid, which surrounds and protects the fetus in the uterus (womb). After rupture, the amniotic fluid leaks out of the uterus through the vagina. A fetus surrounded by the amniotic sac which is enclosed by fetal membranes.