Coding, Classification & Reimbursement

1.  I-10 PCS inpatient coding question - episiotomy

Posted 10 days ago
​Hi all, I have an ICD-10-PCS inpatient coding question.  Small midline episiotomy extended to 2nd degree lac - repaired with 3-0 vicryl rapide Would we code the episiotomy and repair or just the repair? 0KQM0ZZ 0W8NXZZ     Please provide references to support your answer.  Thanks in advance!

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Ginger Plemmons
Coding/CDI manager
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2.  RE: I-10 PCS inpatient coding question - episiotomy

Posted 9 days ago
  |   view attached
It's the first one: The 0KQM0ZZ

Here is the source:

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Elsie Snyder
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Attachment(s)

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link.docx   35K 1 version


3.  RE: I-10 PCS inpatient coding question - episiotomy

Posted 9 days ago
Both

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4.  RE: I-10 PCS inpatient coding question - episiotomy

Posted 8 days ago
​Coding Clinic 4Q 2008 pg 192  The question was how to code an episiotomy that extended to a 2nd degree perineal laceration which was repaired with sutures.  The answer states "When an episiotomy extends spontaneously to become a perineal laceration, assign a code for the episiotomy and a code for the repair. Both codes are needed to completely describe this situation"

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Karen Neal
Coding Quality Auditor
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5.  RE: I-10 PCS inpatient coding question - episiotomy

Posted 6 days ago
Hi Ginger,
A standard episiotomy is equal to a 2nd degree laceration. I would not code a 2nd degree laceration or a repair of a 2nd degree laceraction with the documentation you have provided. If an episiotomy extends to a 3rd of 4th degree laceration then the appropriate laceration and repair codes for same should be coded.


When an episiotomy is performed the tissue layers involved are similar to a second-degree tear. However, there is evidence to suggest that a tear heals better (McGuinness et al 1991).

Laura C Jones, RHIT, CCS
AHIMA Approved ICD-10-CM/PCS Trainer





6.  RE: I-10 PCS inpatient coding question - episiotomy

Posted 5 days ago
​I agree with Karen. The coding clinic advice is still pertinent to use.

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Jodi Kingley, CCS
Inpatient Coder
Princeton HealthCare System
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