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ICD-10 Coding for Delivery Complicated by Cord Avulsion(O69.89X_)

Complete ICD-10-CM coding and documentation guide for Delivery Complicated by Cord Avulsion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Umbilical Cord AvulsionCord Evulsion

Related ICD-10 Code Ranges

Complete code families applicable to Delivery Complicated by Cord Avulsion

O69.8-O69.89Primary Range

Other cord complications during labor and delivery

This range includes codes for various cord complications, including avulsion, which is not explicitly listed but falls under 'other specified cord complications'.

Key Information: ICD-10 code for delivery complicated by cord evulsion

Essential facts and insights about Delivery Complicated by Cord Avulsion

The ICD-10 code for delivery complicated by cord evulsion is O69.89X_, covering other specified cord complications.

Primary ICD-10-CM Code for delivery complicated by cord evulsion

Other specified cord complications
Non-billable Code

Decision Criteria

clinical Criteria

  • Documented evidence of cord avulsion at the placental insertion site.

documentation Criteria

  • Explicit mention of avulsion in the medical record.

Applicable To

  • Cord avulsion

Excludes

  • Cord around neck without compression (O69.81X0)
  • Other cord entanglement without compression (O69.82X0)

Clinical Validation Requirements

  • Visual or pathological confirmation of cord-placenta separation
  • Clinical evidence of hemorrhage or neonatal anemia

Code-Specific Risks

  • Confusing avulsion with other cord issues like entanglement.

Coding Notes

  • Ensure explicit documentation of avulsion and any resulting complications.

Ancillary Codes

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

Third-stage hemorrhage

O72.0
Use if avulsion results in significant postpartum hemorrhage.

Single liveborn

Z37.0
Use to indicate the outcome of delivery.

Differential Codes

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

Other cord entanglement without compression

O69.82X0
Use for entanglement without tearing or avulsion.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Delivery Complicated by Cord Avulsion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O69.89X_.

Impact

Clinical: May lead to inappropriate clinical management., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.

Mitigation Strategy

Implement documentation training for providers., Use checklists to ensure all necessary details are captured.

Impact

Reimbursement: Incorrect coding can lead to improper DRG assignment and reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data and statistics.

Mitigation Strategy

Query provider for clarification if documentation is ambiguous.

Impact

Risk of audits due to vague documentation of cord complications.

Mitigation Strategy

Ensure detailed documentation of avulsion events.

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 Cord Avulsion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Delivery Complicated by Cord Avulsion

Use these documentation templates to ensure complete and accurate documentation for Delivery Complicated by Cord Avulsion. These templates include all required elements for proper coding and billing.

Cord Avulsion During Delivery

Specialty: Obstetrics

Required Elements

  • Timing of avulsion
  • Mechanism of avulsion
  • Hemodynamic impact
  • Neonatal status

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cord complication noted during delivery.
Good Documentation Example
Spontaneous vaginal waterbirth. Complete cord avulsion at placental insertion site observed upon placental delivery with 800mL bright red bleeding. Immediate fundal massage & IV oxytocin initiated. Neonate transferred to NICU for anemia (Hct 28%).
Explanation
The good example provides specific details about the avulsion, interventions, and neonatal outcome.

Need help with ICD-10 coding for Delivery Complicated by Cord Avulsion? Ask your questions below.

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