ICD-9 Code 763.3 Delivery by vacuum extractor affecting fetus or newborn ICD-9 Index Chapter: 760–779
It’s interesting to note that if code O80 Normal delivery is assigned the principal dx for a delivery admission, code 10E0XZZ is this is the only appropriate ICD-10-PCS code to accompany that diagnosis. An assisted vaginal delivery is one that is accomplished with the assistance of instrumentation such as forceps or vacuum extraction.
763.3 is a legacy non-billable code used to specify a medical diagnosis of delivery by vacuum extractor affecting fetus or newborn. This code was replaced on September 30, 2015 by its ICD-10 equivalent. The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:
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.
Table: CodeICD10 Code (*)Code Description (*)O81.4Vacuum extractor deliveryO81.5Delivery by combination of forceps and vacuum extractorO82Single delivery by caesarean sectionO82.0Delivery by elective caesarean section26 more rows
During a vacuum-assisted vaginal delivery, a health care provider applies the vacuum — a soft or rigid cup with a handle and a vacuum pump — to the baby's head to help guide the baby out of the birth canal. This is typically done during a contraction while the mother pushes.
P03.3P03. 3 - Newborn affected by delivery by vacuum extractor [ventouse] | ICD-10-CM.
What Is a Vacuum-Assisted Vaginal Delivery? During vaginal delivery, your doctor may use a vacuum to help remove your baby from the birth canal. This procedure makes delivery more rapid. It may be needed to avoid injury to the baby and to avoid cesarean section.
Even normal vaginal deliveries can result in complications in both the mother and the baby. In most cases, the vacuum extractor is used to avoid a cesarean delivery or to prevent fetal distress. When performed properly, vacuum-assisted delivery poses far fewer risks than cesarean delivery or prolonged fetal distress.
A vacuum-assisted delivery may put your baby at risk of brain or nerve damage. Complications of vacuum delivery, such as brain damage, can cause cerebral palsy, Erb's palsy, newborn cephalohematoma, and more.
A ventouse (vacuum cup) is attached to the baby's head by suction. A soft or hard plastic or metal cup is attached by a tube to a suction device. The cup fits firmly on to your baby's head. During a contraction and with the help of your pushing, the obstetrician or midwife gently pulls to help deliver your baby.
ICD-10 code O72 for Postpartum hemorrhage is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
Examples of procedures performed on the products of conception are manually assisted delivery (10E0XZZ), delivery with mid forceps (10D07Z4), and low cervical cesarean section (10D00Z1).
The vacuum may lead to decreased uterine extensions and decrease in blood loss associated with efforts to deliver the head in difficult cases. Without the need for excessive fundal pressure, maternal discomfort can be minimized.
A vacuum extraction, also known as a vacuum-assisted delivery, is used to help move the baby through the birth canal when labor has stalled. While somewhat rare — only about 5 in every 200 babies are born with the help of a vacuum extraction — you should know that the procedure is safe for both mother and baby.
Types of vacuum cups. The 2 main types of hand-held disposable vacuum devices are shown: (A) The soft cup, which is pliable and funnel- or bell-shaped. (B) The rigid cup, which is firm and mushroom-shaped (M cup). They can be made of plastic, polyethylene, or silicone.
Women experienced more pain during vacuum extraction than during SSCS, but they reported less pain in the first 24 hours after birth (Table 3). One day after vacuum extraction 91.6% (263/287) of women had no pain or mild pain (NPRS 0–4), vs. 62.6% (223/356) after SSCS (OR 6.54; 95%CI 4.09–10.46).
How long does it take to recover from a vacuum-assisted delivery? If there are no serious complications, you'll recover normally over the next six weeks. You might need to wear a pad for normal vaginal bleeding. You can manage your pain with over-the-counter medications while you heal.
Vacuum-assisted vaginal deliveries can cause significant fetal morbidity, including scalp lacerations, cephalohematomas, subgaleal hematomas, intracranial hemorrhage, facial nerve palsies, hyperbilirubinemia, and retinal hemorrhage. The risk of such complications is estimated at around 5%.
763.3 is a legacy non-billable code used to specify a medical diagnosis of delivery by vacuum extractor affecting fetus or newborn. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:
While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
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.
An assisted vaginal delivery is one that is accomplished with the assistance of instrumentation such as forceps or vacuum extraction. Just like a spontaneous delivery, this procedure is reported with a code from the Obstetrics section of ICD-10-PCS because it is a procedure performed on the fetus, which is considered a product of conception (see ICD-10-PCS coding guideline C1).
It is appropriate to assign an outcome of delivery code for admissions when elective termination of pregnancy results in a liveborn fetus ( ICD-10-CM Coding Guideline I.C.15.q) and code Z37.0 Single live birth , is the only outcome of delivery code for use with O80 (ICD-10-CM Coding Guideline I.C.15.n.3).
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):
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
A spontaneous delivery is a vaginal delivery that is manually assisted with no use of instrumentation such as forceps or vacuum extraction. In ICD-10-PCS, the code for this procedure will be the same every time, 10E0XZZ. Looking at the table below you can see that there is only one option for the value for each character in the code.
This procedure is reported with a code from the Obstetrics section of ICD-10-PCS because it is a procedure performed on the fetus, which is considered a product of conception (see ICD-10-PCS coding guideline C1). The root operation for a spontaneous delivery is Delivery and the body part is Products of Conception. A delivery that only requires the physician to manually assist a spontaneous process takes place entirely outside the patient’s body, so the approach is External.
If a delivery occurs during an admission and there is an “in childbirth” option for the obstetric complication being coded, the “in childbirth” code should be assigned. If the complication occurs after delivery , the “in puerperium” code should be assigned if available.
Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, “Pregnancy, Childbirth, and the Puerperium.” It includes categories O00–O9A arranged in the following blocks:
Because certain obstetric conditions or complications occur during certain trimesters, not all conditions include codes for all three trimesters.
The assignment of the final character for trimester is based on the trimester for the current admission or encounter. This guideline applies to the assignment of trimester for pre-existing conditions as well as those that develop during or are due to the pregnancy.
Similar to ICD-9-CM, ICD-10-CM obstetric codes in chapter 15 have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in addition to chapter 15 codes to further specify conditions.
Outcome of delivery codes (Z37.0–Z37.9) are intended for use as an additional code to identify the outcome of delivery on the mother’s records. These codes are not to be used on subsequent records or on the newborn record.
Codes from this category also require either a fifth or sixth character specifying the trimester. Code O30.0, Twin pregnancy, is further classified by whether the twin pregnancy is monoamniotic/monochorionic, conjoined twins, other twin pregnancy, or unspecified twin pregnancy.
669.51 is a legacy non-billable code used to specify a medical diagnosis of forceps or vacuum extractor delivery without mention of indication, delivered, with or without mention of antepartum condition. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include