Internal monitoring requires two codes: one for the insertion of the monitoring electrode onto the fetus’s scalp via natural or artificial opening (10H73Z), and one for the monitoring, which is the same as above except for the approach, which is again via natural or artificial opening (4A1H7CZ). 2. The delivery method:
Oct 01, 2015 · Insertion of Monitoring Electrode into Products of Conception, Via Natural or Artificial Opening. ICD-10-PCS 10H073Z is a specific/billable code that can be used to indicate a procedure. ICD-10-PCS 10H073Z is intended for females as it is clinically and virtually impossible to be applicable to a male.
ICD-10-PCS Procedure Codes. STUDY. Flashcards. Learn. Write. Spell. Test. PLAY. Match. Gravity. Created by. Sharon_Gibson116. Terms in this set (62) ... placement of fetal monitoring device on scalp, electrode was inserted through the vagina. 10H073Z. hearing screening of newborn, using audiometer. F13Z01Z.
ICD-10-CM Diagnosis Code P12.4 [convert to ICD-9-CM] Injury of scalp of newborn due to monitoring equipment. Fetal monitoring scalp injury; Scalp injury due to fetal monitoring equipment; Sampling incision of scalp of newborn; Scalp clip (electrode) injury of newborn. ICD-10-CM Diagnosis Code P12.4.
Fetal Monitoring Internal Fetal Monitoring External Fetal Monitoring • Electrode placed internally (e.g., scalp electrode) • Two codes: – 10H073Z, Insertion of monitoring electrode into products of conception, via naturalorartificialopening • Electrode placed externally • Fetal monitoring – 4A1HXCZ, Monitoring of
The objective: we’re monitoring. What are we doing? Respiratory is the body system. For what? The flow. So, monitoring, respiratory and flow gives us the codes 4A19 . So, we’d look in the Index, monitoring, then go into respiratory and flow, that gives us to the section 4A19. Then we go to the Tabular, we open it up, you’ll see a graph like Chandra put in there and that’s when we can fill up the rest of the blocks – via natural or artificial opening. See how the verbiage repeats itself?
Monitoring of urinary flow. The first objective is to determine what is the procedure being performed. What’s being done when we’re measuring or monitoring. Then, the next thing you need to determine is where on the body that you’re going to be working, that’s the next step. So, you take it one step at a time.
In the past with ICD-9, this was bundled in into Volume Three – some of you may remember that – but with ICD-10 now ICD-10-PCS has its own manual. So, you can now separate the way that works. You potentially have to get another manual though because you have ICD-10-CM, PCS and everything.
Also, just a little hint – a fetus is considered product of conception. That is also a term that we don’talways think of. With PCS, you have to put on a different hat. The verbiage isn’t necessarily the first thing that comes to mind and that’s what people struggle with when they’re working with ICD-10-PCS.
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
Correcting, to the extent possible, a malfunctioning or displaced deviceRevision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screwAdjustment of position of pacemaker lead Recementing of hip prosthesis
It is found in the Measurement and Monitoring section of PCS and the code is 4A1HXCZ. Internal monitoring requires two codes: one for the insertion of the monitoring electrode onto the fetus’s scalp via natural or artificial opening (10H73Z), and one for the monitoring, which is the same as above except for the approach, which is again via natural or artificial opening (4A1H7CZ).
OB coding is predicated on two main issues: getting the correct principal diagnosis (PD) and accurately codifying the procedure (s). Also, since ICD-10 did away with “delivered, with or without mention of antepartum complication,” there is no implied delivery in the ICD-10-CM code, so it is very important to indicate that a delivery was performed or you might end up in the wrong DRG. This is accomplished by a “delivery” code (quotation marks to distinguish the medical procedure from the root operation here) and an outcome of delivery code.
1. Prior to delivery: There are procedures that may bring on or hasten labor, or facilitate a vaginal delivery. Labor is defined as uterine contractions resulting in cervical dilation and/or effacement. Augmentation of labor is the stimulation of the strength or frequency of uterine contractions using pharmacologic methods or artificial rupture of membranes (AROM) after spontaneous labor or spontaneous rupture of membranes (SROM) has occurred. Induction of labor (IOL) is the use of pharmacologic and/or mechanical methods to initiate labor, including the circumstance of SROM without contractions. Also, consider the following:
Augmentation of labor is the stimulation of the strength or frequency of uterine contractions using pharmacologic methods or artificial rupture of membranes (AROM) after spontaneous labor or spontaneous rupture of membranes (SROM) has occurred.
Obstetrics coding is particularly challenging. I always say that documentation is for clinical communication, but if you have ever read an obstetrics encounter, you really are struck with the fact that obstetricians and nurse midwives are documenting solely to communicate with each other.
Procedures for augmentation of labor are not coded, except for AROM.
A: If the provider has documented that there was some adherent placenta or there is excessive postpartum bleeding requiring a manual sweep of the membranes, then manual extraction of retained POC should be coded. We do not recommend assigning this code without a diagnosis to indicate the significance of the sweep.
A: Haugen Consulting Group does not recommend coding removal of the scalp electrode. It is placed during delivery and is removed, or falls off, before the baby is delivered. It is always removed and never left in place, so the removal is considered inherent.