Ob-Gyn Coding Alert
Reporting Spontaneous Rupture of Membranes
Question: What is the current diagnosis code for spontaneous rupture of membranes? The ob-gyn saw the patient in the hospital to rule out labor.
California Subscriber
Answer: There are only two choices for reporting spontaneous rupture of membranes. The patient either ruptured but did not go into labor for more than 24 hours (658.23, Delayed delivery after spontaneous or unspecified rupture of membranes; antepartum condition or complication) or went into labor less than 24 hours after rupture (658.12, Premature rupture of membranes; delivered, with mention of postpartum complication).
If the ob-gyn discovers that the patient did not rupture her membranes and was not in labor but there is discharge, you can report leukorrhea (623.5). If there is no discharge and no labor (that is, the physician finds nothing), the only diagnosis codes available are the pregnancy codes (V22.0, Supervision of normal first pregnancy; or V22.1, Supervision of other normal pregnancy).
Keep in mind that if the patient is at term, you will probably not be reimbursed extra to rule out labor in any case.
Ob-Gyn Coding Alert
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