ICD-10 Coding for Repeat Cesarean Section(O34.212, O82)
Complete ICD-10-CM coding and documentation guide for Repeat Cesarean Section. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Repeat Cesarean Section
O34.21-O34.219Primary Range
Maternal care for scar from previous cesarean delivery
This range covers conditions related to maternal care due to uterine scar from a previous cesarean delivery.
Encounter for cesarean delivery without indication
This code is used for cesarean deliveries without medical indication, which is rare in repeat cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O34.212 | Maternal care for low transverse scar from previous cesarean delivery | Use when a low transverse scar is documented from a previous cesarean. |
|
| O82 | Encounter for cesarean delivery without indication | Use when cesarean is performed without any medical indication. |
|
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 repeat C-section
Essential facts and insights about Repeat Cesarean Section
Primary ICD-10-CM Codes for repeat c section
Decision Criteria
clinical Criteria
- Presence of a low transverse scar from previous cesarean
documentation Criteria
- Operative report confirming scar type
Applicable To
- Low transverse uterine scar
Excludes
- Classical uterine scar (O34.211)
Clinical Validation Requirements
- Operative report confirming low transverse scar
- Documentation of prior cesarean
Code-Specific Risks
- Incorrectly coding as unspecified when scar type is known
Coding Notes
- Ensure the type of uterine scar is documented to avoid unspecified coding.
O82 - Encounter for cesarean delivery without indication
Use when cesarean is performed without any medical indication.
Applicable To
- Elective cesarean without medical indication
Excludes
- Cesarean delivery with medical indication (O34.21-)
Clinical Validation Requirements
- No medical or surgical indication documented
- Patient request without prior cesarean scar
Coding Notes
Ensure no medical indication is documented before using this code.
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 Repeat Cesarean Section to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O34.212.
Impact
Clinical: Inaccurate clinical records affecting future care decisions., Regulatory: Potential for audit due to unspecified coding., Financial: Loss of revenue from incorrect DRG assignment.
Mitigation Strategy
Always review and document the operative report., Query provider if scar type is not documented.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Risk of audit due to incorrect coding., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify the presence of a uterine scar and use O34.21- codes accordingly.
Impact
Using unspecified codes when specific scar type is documented.
Mitigation Strategy
Ensure operative reports are reviewed and scar types are documented.
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 Repeat Cesarean Section, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Repeat Cesarean Section
Use these documentation templates to ensure complete and accurate documentation for Repeat Cesarean Section. These templates include all required elements for proper coding and billing.
Repeat C-section due to low transverse scar
Specialty: ObstetricsRequired Elements
- Operative report from previous cesarean
- Current indication for repeat cesarean
- Outcome of delivery
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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