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Elective C-Section -- First and Previous

Carla Posted Wed 19th of October, 2016 12:16:32 PM
Hi there, I am billing for anesthesia providers that do strickly OB anesthesia. I am wondering what the diagnosis code(s) is/are when a patient wants an elective primary C-section. Do I also need to attach a Z31. code with the primary code? Thank you for your help in this matter.
SuperCoder Answered Thu 20th of October, 2016 03:03:12 AM

Hi Carla,

when a patient wants an elective primary C-section the appropriate diagnosis code(s) will be O75.82 followed by code from catagory Z3A, depending on your documentation. Before this we can also use codes which gives the reason for planned C-section, if any (e.g: O33.9 or O34.21). Code Z31 may or may not be used. Thank you.


Carla Posted Fri 21st of October, 2016 10:30:50 AM
To follow up on this question.... O34.211 is only used for previous C-sections correct? So if there is not a medical necessity for a first time C-section just the patient wanting it, the code would be O75.82? But if they had a previous C-section and want another one again I would code O34.211 and then O75.82? Thank you, Carla
SuperCoder Answered Mon 24th of October, 2016 02:06:10 AM

You are right, we will Code first to specify reason for planned cesarean section (an appropriate reason), then we will code delivery by (planned) cesarean section (O75.82), followed by outcome of delivery (Z37). Thank you.

Carla Posted Mon 24th of October, 2016 14:44:01 PM
Thank you for the clarification. Carla
SuperCoder Answered Tue 25th of October, 2016 00:56:25 AM

You are welcome.


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