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ICD-10 Coding for Breech Presentation(O32.1XX0, O32.8XX0)

Complete ICD-10-CM coding and documentation guide for Breech Presentation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Breech BirthBreech Position

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Related ICD-10 Code Ranges

Complete code families applicable to Breech Presentation

O32.1-O32.8Primary Range

Maternal care for malpresentation of fetus

This range includes codes for maternal care due to various types of breech presentations.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
O32.1XX0Maternal care for breech presentationUse for prenatal care or planned cesarean due to breech presentation.
  • Ultrasound confirmation of breech type
  • Gestational age ≥ 36 weeks
O32.8XX0Maternal care for other malpresentation of fetusUse for unstable lie or footling presentations.
  • Ultrasound confirmation of breech type
  • Gestational age ≥ 36 weeks

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for breech presentation

Essential facts and insights about Breech Presentation

The ICD-10 code for breech presentation is O32.1XX0 for complete or frank breech and O32.8XX0 for footling or incomplete breech.

Primary ICD-10-CM Codes for breech presentation

O32.1XX0
Maternal care for breech presentation
Billable Code

Decision Criteria

clinical Criteria

  • Ultrasound confirms breech presentation type.

documentation Criteria

  • Gestational age and presentation type documented.

Applicable To

  • Complete breech
  • Frank breech

Excludes

  • Obstructed labor due to breech (O64.0XX0)

Clinical Validation Requirements

  • Ultrasound confirmation of breech type
  • Gestational age ≥ 36 weeks

Code-Specific Risks

  • Incorrect use for postpartum visits
  • Lack of ultrasound confirmation

Coding Notes

  • Ensure documentation specifies the type of breech and includes ultrasound findings.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Single live birth

Z37.0
Use to indicate the outcome of delivery.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Obstructed labor due to breech

O64.0XX0
Use when breech presentation leads to obstructed labor.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Breech Presentation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O32.1XX0.

Impact

Clinical: Impacts clinical decision-making for delivery planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to incomplete records.

Mitigation Strategy

Ensure gestational age is documented in every prenatal visit., Cross-check ultrasound reports for gestational age.

Impact

Reimbursement: Incorrect billing for postpartum care., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Code only applies to prenatal/delivery encounters.

Impact

Reimbursement: Potential denial of claims., Compliance: Failure to meet documentation standards., Data Quality: Lack of specificity in medical records.

Mitigation Strategy

Query for specific type of breech presentation.

Impact

Lack of ultrasound confirmation can lead to audit issues.

Mitigation Strategy

Ensure all breech presentations are confirmed with ultrasound and documented.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Breech Presentation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Breech Presentation

Use these documentation templates to ensure complete and accurate documentation for Breech Presentation. These templates include all required elements for proper coding and billing.

Prenatal visit for breech presentation

Specialty: Obstetrics

Required Elements

  • Ultrasound findings
  • Gestational age
  • Type of breech presentation

Example Documentation

Patient at 37 weeks with frank breech presentation confirmed by ultrasound. Plan for ECV at 37+1 weeks.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Breech presentation noted.
Good Documentation Example
Frank breech confirmed via ultrasound at 37+1 weeks: flexed hips, extended knees, buttocks presenting.
Explanation
The good example provides specific details necessary for accurate coding and clinical decision-making.

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