shepardcpc
New
- Messages
- 4
- Best answers
- 0
Inpatient delivery Principal diagnosis for cesarean section due to previous traumatic birth (4th degree tear)? Or would it be dx o82 encounter for cesarean delivery without indication.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Principal diagnosis for cesarean section due to previous traumatic birth (4th degree tear)?
- Thread starter shepardcpc
- Start date
nielynco
Expert
If the previous 4th degree laceration causes an abnormality of the perineum so that vaginal delivery was not possible, you could go with an O34.74 code (3rd trimester as there is no code for complicating delivery). There is also the Z87.59 code for personal Hx of complications from pregnancy, but I doubt that code will fly as a principal diagnosis in this case. If it is her fear of vaginal delivery due to the previous laceration with no physical defect present you will have to go with a mental health diagnosis.