Full Answer
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.
When a vaginal delivery occurs, the principal diagnosis should correspond to the main circumstance or complication of the delivery. True Which of the following codes are correct when a normal pregnancy is coded?
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.
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.
When coding a pregnant woman with HIV infection, follow the guidelines for: pregnancy coding (sequence pregnancy code as principal) For a normal delivery, the diagnosis codes for the mother are: O80, Z37.0. Gestational diabetes: occurs in a patient who was not diabetic before pregnancy.
The patient is admitted in labor at 38 weeks. She labors for 24 hours when it is noted that the baby is in fetal distress. The patient is taken to the OR for an emergency C-section (LTCS). She delivers a healthy baby.
A gravid patient at 11 weeks presents for a routine prenatal visit. This patient had preeclampsia in her previous pregnancy and the physician documents high-risk pregnancy. She has blood work done on this visit and is found to be anemic. The physician prescribes an iron supplement.
A patient at 12 weeks is admitted for a therapeutic abortion due to a chromosome abnormality in the fetus. A D&C is performed, resulting in a complete abortion. Her postoperative course is complicated by shock due to acute blood loss secondary to hemorrhage with resulting anemia.
An episiotomy is considered a complication of delivery, and a O80 diagnosis code cannot be coded on the mother's chart. False. Another term for "before delivery" is: antepartum. The patient is admitted in labor at term. After lab work is completed, it is noted that the patient has a UTI and appears to be preeclamptic.
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.
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, ...
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).