ICD-10 Coding for Delivery Complicated by Adhesions(O65.5, K66.0)
Complete ICD-10-CM coding and documentation guide for Delivery Complicated by Adhesions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Delivery Complicated by Adhesions
O65-O66Primary Range
Obstructed labor due to maternal pelvic abnormality
This range includes codes for delivery complications due to adhesions.
Disorders of peritoneum
Includes codes for peritoneal adhesions that may be relevant if not directly impacting delivery.
Other female pelvic inflammatory diseases
Includes codes for pelvic adhesions that may be used as ancillary codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O65.5 | Obstructed labor due to pelvic peritoneal adhesions | Use when adhesions directly impact labor or delivery mechanics. |
|
| K66.0 | Peritoneal adhesions (postoperative) | Use when adhesions are present but do not complicate 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 delivery complicated by adhesions
Essential facts and insights about Delivery Complicated by Adhesions
Primary ICD-10-CM Codes for delivery complicated by adhesions
Decision Criteria
clinical Criteria
- Adhesions must impact delivery mechanics.
documentation Criteria
- Detailed operative note required.
Applicable To
- Adhesions affecting labor
Excludes
- Adhesions without labor impact (K66.0)
Clinical Validation Requirements
- Operative note detailing adhesion impact on delivery
- Extended surgical time due to adhesions
Code-Specific Risks
- Incorrectly using when adhesions do not impact delivery
Coding Notes
- Ensure documentation specifies the impact of adhesions on delivery.
K66.0 - Peritoneal adhesions (postoperative)
Use when adhesions are present but do not complicate delivery.
Applicable To
- Adhesions not affecting delivery
Excludes
- Adhesions causing obstruction (O65.5)
Clinical Validation Requirements
- Imaging or surgical report confirming adhesions
Coding Notes
Ensure adhesions are documented as incidental.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Delivery Complicated by Adhesions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O65.5.
Impact
Clinical: Inaccurate clinical picture, Regulatory: Potential audit issues, Financial: Incorrect reimbursement
Mitigation Strategy
Use specific anatomical terms, Document procedural impact
Impact
Reimbursement: Incorrect DRG assignment, potential underpayment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation specifies delivery impact to use O65.5.
Impact
Using K66.0 instead of O65.5 for delivery complications
Mitigation Strategy
Educate staff on documentation requirements for O65.5.
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 Delivery Complicated by Adhesions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Delivery Complicated by Adhesions
Use these documentation templates to ensure complete and accurate documentation for Delivery Complicated by Adhesions. These templates include all required elements for proper coding and billing.
Cesarean delivery complicated by adhesions
Specialty: ObstetricsRequired Elements
- Previous surgical history
- Imaging findings
- Intraoperative adhesion details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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