Childbirth at home

medmunds72

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Question: What dx code would you use for a female that gave birth at home. She called the ambulance once baby was born.
Paramedic cut cord & placenta was delivered. Ambulance transported mom & baby to the hospital.
Help! I used O80 Encounter for full term uncomplicated delivery. Wellcare Denied.

Thanks!
Michele
 
This is old information, from ICD-9 days, but it might help as there is sequencing advice (I haven't found anything more recent, and this info is from this website):

When the delivery occurs outside the hospital admission, it is deemed as outside delivery, be it ambulance or car, home delivery.
Selection of Primary Diagnosis:
A delivery procedure code should not be used for a woman who has delivered prior to admission to the hospital. Any postpartum repairs should be coded
When the mother delivers outside the hospital prior to admission and is admitted for routine postpartum care and no complications are noted, code V24.0, Postpartum care and examination immediately after delivery, should be assigned as the principal diagnosis.
General Rules :
1. Obstetric cases require codes from chapter 11, codes in the range 630-677, Complications of Pregnancy, Childbirth, and the Puerperium.
2. Chapter 11 codes have sequencing priority over codes from other chapters.
Additional codes from other chapters may be used in conjunction with chapter 11 codes to further specify conditions.
3. Chapter 11 codes are to be used only on the maternal record, never on the record of the newborn.
4. An outcome of delivery code, V27.0-V27.9, should be included on every maternal record when a delivery has occurred.
 
This is old information, from ICD-9 days, but it might help as there is sequencing advice (I haven't found anything more recent, and this info is from this website):

When the delivery occurs outside the hospital admission, it is deemed as outside delivery, be it ambulance or car, home delivery.
Selection of Primary Diagnosis:
A delivery procedure code should not be used for a woman who has delivered prior to admission to the hospital. Any postpartum repairs should be coded
When the mother delivers outside the hospital prior to admission and is admitted for routine postpartum care and no complications are noted, code V24.0, Postpartum care and examination immediately after delivery, should be assigned as the principal diagnosis.
General Rules :
1. Obstetric cases require codes from chapter 11, codes in the range 630-677, Complications of Pregnancy, Childbirth, and the Puerperium.
2. Chapter 11 codes have sequencing priority over codes from other chapters.
Additional codes from other chapters may be used in conjunction with chapter 11 codes to further specify conditions.
3. Chapter 11 codes are to be used only on the maternal record, never on the record of the newborn.
4. An outcome of delivery code, V27.0-V27.9, should be included on every maternal record when a delivery has occurred.

Thank you so much!
 
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