ICD-10 Coding for Cephalopelvic Disproportion(O65.4)
Complete ICD-10-CM coding and documentation guide for Cephalopelvic Disproportion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cephalopelvic Disproportion
O65-O66Primary Range
Obstructed labor due to abnormality of maternal pelvic organs
This range includes codes for obstructed labor due to cephalopelvic disproportion and other pelvic abnormalities.
Key Information: ICD-10 code for cephalopelvic disproportion
Essential facts and insights about Cephalopelvic Disproportion
Primary ICD-10-CM Code for cephalopelvic disproportion
Decision Criteria
clinical Criteria
- Persistent arrest at 7cm despite adequate contractions
documentation Criteria
- Documented ultrasound measurements and labor patterns
Applicable To
- Cephalopelvic disproportion causing obstructed labor
Excludes
- Malposition and malpresentation of fetus (O64.-)
Clinical Validation Requirements
- Arrested cervical dilation ≥4cm
- Abnormal partogram
- Ultrasound measurements indicating disproportion
Code-Specific Risks
- Misidentifying CPD without sufficient clinical evidence
Coding Notes
- Ensure documentation supports CPD as the primary cause of obstruction.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Primary uterine inertia
O62.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Obstructed labor due to other malposition and malpresentation
O64.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cephalopelvic Disproportion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O65.4.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Fails to meet documentation standards., Financial: May result in denied claims.
Mitigation Strategy
Ensure all clinical criteria are documented., Use standardized templates.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use O65.4 with specific labor complications.
Impact
Lack of detailed clinical findings can lead to audit failures.
Mitigation Strategy
Use comprehensive templates and ensure all criteria are met.
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 Cephalopelvic Disproportion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cephalopelvic Disproportion
Use these documentation templates to ensure complete and accurate documentation for Cephalopelvic Disproportion. These templates include all required elements for proper coding and billing.
Obstructed labor due to CPD
Specialty: ObstetricsRequired Elements
- Cervical dilation
- Uterine activity
- Fetal presentation
- Imaging results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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