ICD 10 Coding Alert
Select Multiple Dx for This VBAC Encounter
Question: A patient had a C-section following a failed VBAC due to fetal distress. She had vaginal bleeding; the OB-GYN performed a hysterectomy during the C-section. What are the best diagnoses for this encounter? Massachusetts Subscriber Answer: You have multiple diagnosis options, depending on the supporting documentation. Some possibilities for delivery include: O80 (Encounter for full-term uncomplicated delivery), O34.211 (Maternal care for low transverse scar from previous cesarean delivery), and O77.9 (Labor and delivery complicated by fetal stress, unspecified). The correct diagnosis for an unsuccessful vaginal birth after cesarean (VBAC) depends on the reason why it was unsuccessful. Presuming an epidural catheter was placed for the VBAC, the delivery itself can be reported with 01967 (Neuraxial labor analgesia/anesthesia for planned vaginal delivery [this includes any repeat subarachnoid needle placement and druginjection and/or any necessary replacement of an epidural catheter during labor]) and +01969 (Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia [List separately in addition to code for primary procedure performed]).
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Select Multiple Dx for This VBAC Encounter
Question: A patient had a C-section following a failed VBAC due to fetal distress. She [...]
