The Nuts and Bolts of ICD-10-CM Obstetric Guidelines
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Know How to Report Obstetric Coding Appropriately in ICD-10-CM According to HIPAA Legislation.
With the proposed arrival of the ICD-10-CM diagnostic coding system on October 1, 2015, it will be imperative to understand the very comprehensive obstetric guidelines that accompany the new coding system to ensure that accurate specific diagnostic information about the pregnancy and patient is communicated to the payer. These guidelines address issues are included in ICD-9-CM, but go beyond to address additional coding issues that were needed to capture many more pregnancy complications. Using the guidelines as a basis for coding ensures that clinicians will be able to describe the patient's exact condition in more detail, which in turn may lead to a better understanding by payers of the complexities of complicated obstetric care. These guidelines address every aspect of obstetric coding including providing standard definitions with regard to timing of the pregnancy and how and when to apply the 7th digit to identify the fetus affected by a particular condition.
Each guideline that pertains to obstetric coding will be reviewed in detail. For instance:
You will be using a 7th digit a lot of the time - learn how to correctly apply it to avoid denials
General rules for Obstetric cases
Codes & Sequencing
Weeks of gestation
Fìnal Character of Trimester
elanie Witt, RN, CPC, COBGC, MA is an independent coding education consultant and a well-known speaker and recognized expert in the area of coding and reimbursement for ob-gyn services. She is the former program manager of the Department of Coding and Nomenclature at the American Congress of Obstetricians and Gynecologists.