Coding, Classification & Reimbursement


  • 1.  Contraction

    Posted 07-05-2018 15:52
    We're trying to determine what the best code is to use when "contractions" is the only documented diagnosis on an OB Outpatient. We are aware of querying option and are working with the provider for documentation opportunities.

    Would you suggest coding:

    O47.*  False Labor

    O62.9   Abnormality of forces of labor, unspecified (Contraction, Uterus, Abnormal)

    O60.0*  Preterm Labor w/o delivery

    O26.89*  Other specified pregnancy related conditions

    Z34.*  Supervision of Normal Pregnancy

    Susanne Nickles, CCS
    Coding Education Coordinator
    Ardent Health Services

  • 2.  RE: Contraction

    Posted 07-06-2018 08:19
    If less than 37 weeks and having contractions, I would report O60.003.
    If at or more than 37 weeks and having contractions, I would report O47.1
    I personally would not consider O62.9 or O26.893 for contractions not delivered.
    I would not consider Z34.- as the patient was receiving attention for the pregnant state - not just oversight of the pregnant state.

    Sheila Goethel
    Coding Services Senior Manager

  • 3.  RE: Contraction

    Posted 07-11-2018 16:52

    If no other dx, contractions NOS >37 weeks or greater, we assign threatened labor O47.1. If less than 37 weeks (no other dx like PTL), we assign O47.0. We do not assign preterm labor unless it is specifically written. If we see cervical changes, then we query.
    In ICD-9, the Index "pregnancy, complicated by, onset of contractions" directed coders to threatened labor.

    Darlene Hyman, RHIA, CCS, COC