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e-1. ICD-9-CM diagnosis codes for pregnancy and delivery Normal delivery, and other indications for care in pregnancy, labor, and delivery (650-659.93) 650-650 Normal delivery 651.00-651.93 Multiple gestation Complications occurring mainly in the course of labor and delivery (660.00-669.94)
659.70 ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 659.7 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services.
2012 ICD-9-CM Diagnosis Code 659.7 : Abnormality in fetal heart rate or rhythm Free, official information about 2012 (and also 2013-2015) ICD-9-CM diagnosis code 659.7, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion.
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): No postpartum complications during the delivery admission Outcome of Delivery (Z37.-)
768.2 - Fetal distress before onset of labor, in liveborn infant.
Labor and delivery complicated by fetal stress, unspecified O77. 9 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 O77. 9 became effective on October 1, 2021.
ICD-10 code O77. 9 for Labor and delivery complicated by fetal stress, unspecified is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
List of ICD-9 codes 630–679: complications of pregnancy, childbirth, and the puerperium. This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679.
Decelerations are temporary drops in the fetal heart rate. There are three basic types of decelerations: early decelerations, late decelerations, and variable decelerations. Early decelerations are generally normal and not concerning. Late and variable decelerations can sometimes be a sign the baby isn't doing well.
Non-reassuring fetal status is not an adverse event per se, but rather an indicator of an underlying condition resulting in temporary or permanent oxygen deprivation to the fetus which may lead to fetal hypoxia and metabolic acidosis.
Fetal intolerance to labor, also known as fetal distress, is a complication that occurs during the birthing process when an unborn baby suffers from a lack of oxygen.
Nonstress test results are given as one of the following: Reactive or Reassuring. This means the baby's heart rate increased two or more times during the testing period. Nonreactive. This means the baby's heartbeat didn't increase when moving, or the baby wasn't moving much.
Fetal tachyarrhythmia is an abnormally fast fetal heart rate. In some cases the fast heartbeat may also have an irregular rhythm. Tachyarrhythmia is one of several types of fetal cardiac arrhythmias, congenital heart conditions involving an abnormal heartbeat. The condition is also sometimes referred to as tachycardia.
O80ICD-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 .
74.0 Classical cesarean section - ICD-9-CM Vol.
O09. 90 - Supervision of high risk pregnancy, unspecified, unspecified trimester. ICD-10-CM.
The label of “Cat-II tracing” is given to all FHR patterns that cannot be assigned to Cat I or Cat III. A Cat-II tracing is neither normal nor definitively abnormal. Namely: If FHR accelerations or moderate variability are detected, the fetus is unlikely to be currently acidemic.
Terminal deceleration was defined as a decrease of ≥15 beats per minute (bpm) below baseline lasting ≥120 seconds; bradycardia was defined as <110 bpm for ≥10 minutes.
A code for obesity complicating pregnancy, found in ICD-10-CM subcategory O99. 21- (obesity complicating pregnancy, childbirth, and the puerperium), should be assigned depending on the trimester of the encounter or if a delivery occurred during the encounter (in childbirth option).
ICD-10 code R00. 1 for Bradycardia, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
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.
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.
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 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.
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.
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).
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