tag60
Guru
Please help me with a diagnosis code for this patient who is 9 days status post vaginal delivery.
Per note: No episiotomy was done, but required repair. Exam of external vaginal: 2 stitches each labia and 4 stitches sulcus.
A/P: Tear of vaginal wall. Recommend hot sitz baths twice daily and return in 1-2 weeks for recheck.
Would this be O70.0, first-degree perineal laceration during delivery -- or is this no longer the current condition (since it was repaired)?
Or would I use an aftercare code, perhaps Z48.817, Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue...??
Thanks in advance!
Per note: No episiotomy was done, but required repair. Exam of external vaginal: 2 stitches each labia and 4 stitches sulcus.
A/P: Tear of vaginal wall. Recommend hot sitz baths twice daily and return in 1-2 weeks for recheck.
Would this be O70.0, first-degree perineal laceration during delivery -- or is this no longer the current condition (since it was repaired)?
Or would I use an aftercare code, perhaps Z48.817, Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue...??
Thanks in advance!