Delivery coding

[bon28143]

Need a little help please! 38 week pregnant woman admitted for a repeat low transverse c-section no complication delivered single healthy 3300 gram baby boy. I have never coded a delivery chart before. can someone tell me the principle dx please. This is inpatient Thanks!

 

[torresjeannette87]

If your billing just the delivery with postpartum, use 59515 dx o34.21, z37.0
If your billing entire maternity care with delivery use 59510 dx o34.21 z37.0

 

[bon28143]

Thanks, i used o34.21 and o75.82 and z37.0 is the o75.82 needed?

 

[bon28143]

OB

Thanks, i used o34.21 and o75.82 and z37.0 is the o75.82 needed?

 

[danskangel313]

For sequencing purposes, you'd need to code the condition or complication that created or caused the plan for a cesarean.

If you check under O75.82, there is an instruction "Code first to specify reason for planned cesarean section such as: cephalopelvic disproportion (normally formed fetus) (O33.9) previous cesarean delivery (O34.21)" which would prompt the use of O34.21 as "possible delivery problems".

Then, of course, you'd have to use the Z code to indicate the outcome.

So you'd get O34.21, O75.82, Z37.0

This is a good reference (see pg 61): http://icd-10online.com/wp-content/uploads/2014/05/2014-OB-new-ppt_layout_illust_final-051914.pdf

Regarding the admit, just to clarify, the patient came in due to spontaneous onset of labor, correct? I only ask because if she was not in labor and was admitted with the plan to do the C-section, that'd change your coding.

 

[bon28143]

Thanks so much i got the o34.21 but forgot the o75.82.