Preterm Delivery of Twin Gestation

pkwhite64

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I have a question about which ICD 10 code to use. The doctor delivered a patient with twin gestation at 36 weeks. Patient was not in active labor but Baby B had an issue with abnormal cord flow and was small for dates. The only code I can find for the preterm delivery includes the preterm labor, which wasn't happening. Thanks in advance for your help!
 

pkwhite64

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Thanks for your help. As I see it, that is my only choice of codes. I just needed to hear it from someone else!
 

Bready

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Given your description, I would have queried the provider if this delivery was due "twin to twin transfusion syndrome" where the smaller twin is not getting enough blood. There are appropriate codes for twin to twin syndrome which would have covered the delivery if that was indeed the case. Just something to have in the back of your mind if you ever run into another twin delivery like this.
 
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