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Diagnosis: in pregnancy or in childbirth

Julie Posted Thu 07th of February, 2019 07:45:40 AM
a patient is induced due to circulatory (rheumatic heart disease) problems during pregnancy. would you use the circulatory problems during pregnancy or in childbirth (because the note is for the delivery) for the delivery diagnosis. the note states that there were no complications for the Events/complications and that the pregnancy risk factors were for a chronic maternal illness. thanks much
SuperCoder Answered Fri 08th of February, 2019 00:51:03 AM

Thank you for your Question.

Whenever delivery occurs during the current admission, and there is an “in childbirth” option for the obstetric complication being coded, the “in childbirth” code should be assigned.

When an obstetric patient is admitted and delivers during that admission, the condition that prompted the admission should be sequenced as the principal diagnosis.

When you are billing for your complication in the second or third trimesters and the patient is still pregnant (undelivered), the appended ICD-10-CM codes should be complication related to pregnancy.

When the patient actually delivers, the correct code of choice would be childbirth codes to the claim, as per the ICD-10-CM coding guidelines.

ICD 10 CM code O99.42 (Diseases of the circulatory system complicating childbirth) would be appropriate if rheumatic heart disease complicating the delivery or childbirth.

Hope this Helps!

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