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Wiki SROM prior to scheduled Cesarean

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jmddwilson

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Coquille, OR
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I have a patient that is 38 wks pregnant, scheduled for C-Section and had spontaneous rupture of membranes. She came to the hospital and MD scheduled her for C/S prior to going into labor. Within 3 hours of SROM, patient delivered by C/S. In looking at the ICD 10 codes, O42.02 reads Full-term premature rupture of membranes, onset of labor within 24 hours of rupture. My question is: Can this code be used without actually going in to labor or is there another code?
 
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LRChilders said:
Good afternoon! In this scenario, I typically choose O42.92 (Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor).Yes, I know it is an "unspecified" code, however I feel it is the more appropriate option since it is unknown when labor would have onset if the patient did not have a c/s planned.

What was the reason for the schedule c/s? If due to previous C/S, I would add O34.21- as the secondary diagnosis. Hope this helps!
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Yes, this helps. Thank you for your input.
 
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