Anesthesia Coding Alert

Watch the trimester and "O" versus "0" for successful coding.If a chart crosses your desk today for anesthesia during a twin delivery, your diagnosis choice for the twins is simple: 651.01 (Twin pregnancy; delivered, with or without mention of antepartum condition). Providers will need to be much more detailed in their documentation when ICD-10-CM goes into effect in October 2013, however, because twin diagnosis choices will greatly expand. New choices under ICD-10-CM will include four primary codes: O30.001 -- Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimesterO30.002 -- Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimesterO30.003 -- Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester O30.009 -- Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester. If the provider specifies the number of amniotic sacs, you'll have even more diagnoses to [...]