761.1 is a legacy non-billable code used to specify a medical diagnosis of premature rupture of membranes affecting fetus or newborn. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Peer Review Status: Internally Peer Reviewed 2012 Prolonged rupture of membranes is arbitrarily defined as rupture of membranes for greater than 18 hours. If asymptomatic, the infant should be observed in the hospital for 48 hours. If the infant shows clinical signs of illness, a sepsis work-up should be performed.
Infection Risk Factors in Neonates ≥ 34 Weeks’ Gestational Age Admitted due to Prolonged Rupture of Membranes Characteristic Number (frequency) PROM PROM < 2 days 101 (57.3) PROM 2 - 6 days 36 (20.5) PROM > 7 days 39 (22.2) Maternal UTI 26 (14.8) Unknown GBS status 176 (100) Maternal chorioamnionitis 2 (1.1) Peripartum maternal fever 9 (5.0)
The condition when a patient who is beyond 37 weeks gestation presents with rupture of membranes prior to the onset of labor. Rupture of membranes is diagnosed by speculum vaginal examination of the cervix and vaginal cavity, which will show pooling of fluid in the vagina or leakage of fluid from the cervix.
P01. 1 - Newborn affected by premature rupture of membranes. ICD-10-CM.
A normal, full-term pregnancy typically lasts 40 weeks. A premature birth takes place more than three weeks before the 40th week. On the mother's record, premature birth is classified to ICD-9-CM code 644.21.
Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation. O42. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
P07. 39 - Preterm newborn, gestational age 36 completed weeks | ICD-10-CM.
Newborn affected by premature rupture of membranes 1 P01.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM P01.1 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of P01.1 - other international versions of ICD-10 P01.1 may differ.
P01.1 should be used on the newborn record - not on the maternal record. These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
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.
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 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.