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Successful VBAC and Unsuccessful VBAC after previous C-Section

Carla Posted Tue 25th of October, 2016 02:57:11 AM
Can you please tell me the anesthesia codes for a successful and unsuccessful VBAC after a C-Section and in what order they should appear on a claim? I have been told the code for a successful VBAC would be submitted as O34.211/O80 but I am a doubtful on this sequence. I am having problems locating these ICD-10 codes in the SuperCoder Program. Thank you so much for your help. Carla
SuperCoder Answered Wed 26th of October, 2016 15:09:57 PM

our team is working on this query, will get back to you soon.

SuperCoder Answered Wed 26th of October, 2016 15:10:02 PM

our team is working on this query, will get back to you soon

Carla Posted Wed 26th of October, 2016 19:36:57 PM
Thank you. Carla
SuperCoder Answered Thu 27th of October, 2016 14:05:42 PM

Anesthesia for vaginal deliver is  01960. Anesthesia for cesarean delivery is 01961. Code first O34.211 and then O80.

Please find below the Criteria for coding O80

The following criteria must be met in order for this code to be assigned:

  • Single, full term and live born baby (Full term is 37 weeks to 40 weeks gestation)
  • Head first (cephalic) presentation
  • Little to no assistance during delivery (Episiotomy does not affect code assignment).
  • No current antepartum or postpartum complication.
Carla Posted Thu 27th of October, 2016 15:59:18 PM
Thank you. I guess we had it right to begin with. On another note, I have never used 01960. I have always used 01967 for a vaginal delivery. Not sure what the difference is but I know 01967 has not been a problem for us. Thank you again for looking into this matter. Carla
SuperCoder Answered Fri 28th of October, 2016 03:07:15 AM

The only difference is that 01967 requires that the anesthesia provided be neuraxial. Thank you.

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