ICD-10 Coding for C-Section Delivery(O82, O34.21)
Complete ICD-10-CM coding and documentation guide for C-Section Delivery. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to C-Section Delivery
O82-O84Primary Range
Delivery by cesarean section
This range covers all types of cesarean deliveries, including those without indication and those with specific complications.
Maternal care for uterine scar from previous cesarean delivery
Relevant for coding when a previous cesarean scar impacts the current delivery.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O82 | Encounter for cesarean delivery without indication | Use when a cesarean delivery is performed without a medical indication. |
|
| O34.21 | Maternal care due to uterine scar from previous cesarean | Use when a previous cesarean scar impacts the current delivery. |
|
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 C-section delivery
Essential facts and insights about C-Section Delivery
Primary ICD-10-CM Codes for c section delivery
Decision Criteria
clinical Criteria
- Patient elects cesarean delivery without medical necessity.
Clinical Validation Requirements
- Patient request for cesarean without medical indication
Code-Specific Risks
- Ensure documentation supports elective nature to avoid denials.
Coding Notes
- Ensure elective nature is clearly documented.
O34.21 - Maternal care due to uterine scar from previous cesarean
Use when a previous cesarean scar impacts the current delivery.
Applicable To
- Previous low-transverse cesarean scar
Excludes
- Current cesarean delivery without indication (O82)
Clinical Validation Requirements
- Documented history of previous cesarean with scar type
Coding Notes
Document the type and impact of the scar clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Single live birth
Z37.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting C-Section Delivery to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O82.
Impact
Clinical: Inaccurate representation of patient's obstetric history., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or audits.
Mitigation Strategy
Always specify scar type and impact, Use ultrasound findings to confirm
Impact
Reimbursement: Potential denial of claims due to lack of medical necessity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on cesarean delivery reasons.
Mitigation Strategy
Ensure documentation clearly states the elective nature of the cesarean.
Impact
Lack of documentation supporting elective nature can lead to audits.
Mitigation Strategy
Ensure thorough documentation of patient request and informed consent.
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 C-Section Delivery, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for C-Section Delivery
Use these documentation templates to ensure complete and accurate documentation for C-Section Delivery. These templates include all required elements for proper coding and billing.
Elective Cesarean Delivery
Specialty: ObstetricsRequired Elements
- Patient request for cesarean
- Informed consent
- Discussion of risks and benefits
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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