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diagnosis coding for history of C-section, currentl pregnnacy

  1. #1
    Default diagnosis coding for history of C-section, currentl pregnnacy
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    Hi
    patient is seen for her initial OB care visit at 10 weeks gestation. she has history of C-section(low transverse scar) in a previous pregnancy. which ICD10 code fits best?:

    O09.893-Supervision of other high risk pregnancies, first trimester
    Z98.891-History of uterine scar from previous surgery

    or

    O34.211-Maternal care for low transverse scar from previous cesarean delivery
    Z3A.10- 10 weeks gestation of pregnancy

    is O34.211 only for labor and delivery or for prenatal care too as noted above?

  2. Default Diagnosis coding history of C-section current pregnancy
    O34.211 is correct code that can be used for prenatal care and for delivery. Women with previous C-sections constitute a high risk group in obstetrics due to possible uterine rupture and other complications that could occur in a second pregnancy. O34.211 and Z3A.10. You could also add O09.291 'supervision high risk pregnancy other poor reproductive or obstetric hx first trimester' as the patient is considered high risk because of her previous C-section.

  3. #3
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    Z98.891 has an EXCLUDES 1 note maternal care due to uterine scar from previous surgery O34.2- (and remember, EXCLUDES 1 means not coded here).

    ahg,
    CPC, CPMA, CGSC

  4. #4
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    Quote Originally Posted by Bready View Post
    O34.211 is correct code that can be used for prenatal care and for delivery. Women with previous C-sections constitute a high risk group in obstetrics due to possible uterine rupture and other complications that could occur in a second pregnancy. O34.211 and Z3A.10. You could also add O09.291 'supervision high risk pregnancy other poor reproductive or obstetric hx first trimester' as the patient is considered high risk because of her previous C-section.
    how shall they be sequenced O09.291, O34.211, Z3A.10 or O34.211,O09.291,Z3A.10?

  5. Default diagnosis coding for history of C section current pregnancy
    The high-risk pregnancy code would go first then the previous C-section code and then the gestational weeks code. O09.21; O34.211; Z3A.10. The high-risk code is for pre-natal care. It would not be used with the delivery. O34.211 can be used for delivery too.

  6. #6
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    Quote Originally Posted by Bready View Post
    The high-risk pregnancy code would go first then the previous C-section code and then the gestational weeks code. O09.21; O34.211; Z3A.10. The high-risk code is for pre-natal care. It would not be used with the delivery. O34.211 can be used for delivery too.
    thank you so much

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