ICD-10 Coding for Diastasis Recti(O71.82, M62.08, Q79.52)
Complete ICD-10-CM coding and documentation guide for Diastasis Recti. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diastasis Recti
O71-O71.9Primary Range
Other obstetric trauma
Includes codes for diastasis recti related to pregnancy and delivery.
Congenital malformations of the musculoskeletal system
Includes codes for congenital diastasis recti.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O71.82 | Diastasis of muscle of abdominal wall following obstetrical surgery | Use for diastasis recti related to pregnancy or delivery. |
|
| M62.08 | Other muscle separation | Use for diastasis recti not related to pregnancy. |
|
| Q79.52 | Congenital diastasis recti | Use for congenital cases of diastasis recti. |
|
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 diastasis recti
Essential facts and insights about Diastasis Recti
Primary ICD-10-CM Codes for diastasis recti
Decision Criteria
clinical Criteria
- Onset during pregnancy or postpartum period
documentation Criteria
- IRD measurement and pregnancy link
Applicable To
- Diastasis recti due to pregnancy
- Postpartum diastasis
Excludes
- Non-pregnancy related diastasis (M62.08)
Clinical Validation Requirements
- Documentation of onset during pregnancy, labor, or delivery
- IRD measurement >2.7 cm
Code-Specific Risks
- Incorrectly using for non-pregnancy cases
Coding Notes
- Ensure documentation links diastasis to pregnancy or delivery.
M62.08 - Other muscle separation
Use for diastasis recti not related to pregnancy.
Applicable To
- Non-pregnancy related diastasis recti
Excludes
- Pregnancy-related diastasis (O71.82)
Clinical Validation Requirements
- IRD measurement >2.7 cm
- Documentation of non-pregnancy etiology
Coding Notes
Ensure documentation specifies non-pregnancy cause.
Q79.52 - Congenital diastasis recti
Use for congenital cases of diastasis recti.
Applicable To
- Congenital abdominal muscle separation
Clinical Validation Requirements
- Diagnosis in infants or non-pregnant adults
- Congenital documentation
Coding Notes
Ensure congenital nature is documented.
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 Diastasis Recti to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O71.82.
Impact
Clinical: Inadequate assessment of condition severity, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always include IRD measurements, Link symptoms to diastasis
Impact
Reimbursement: May lead to claim denials, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Verify if diastasis is related to pregnancy before coding.
Impact
Using pregnancy-related codes for non-pregnancy cases.
Mitigation Strategy
Verify etiology before coding.
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 Diastasis Recti, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diastasis Recti
Use these documentation templates to ensure complete and accurate documentation for Diastasis Recti. These templates include all required elements for proper coding and billing.
Postpartum Diastasis Recti
Specialty: ObstetricsRequired Elements
- IRD measurement
- Link to pregnancy
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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