Question

review the ICD-10PCS obstetrics section (section 1) in the manual. Identify and describe 3 different obsterical procedures, including the correct PCS codes

Answer 1

1) Abortion (A)

Artifically terminating a pregnancy.

Abortion coding tips are as follows:

• The root operation abortion applies only to artificially terminated pregnancies

• do not report the root operation abortion for manually assisted spontaneous abortion.manually assisted spontaneous abortion is reported with the root operation delivery ( E)

• Do not report the root operation Abortion for missed or incomplete abortion requiring suction and/or curettage of products of conception. Suction/curettage of nonviable products of conception is reported with the root operation Extraction (D).

2) Delivery (E)

Assisting the passage of products of conception from the genital canal.

Delivery coding tips are as follows:

• The root operation Delivery applies only to manually assisted vaginal delivery of the products of conception.

• The products of conception may be a full-term viable fetus or nonviable products of the conception.

• There's one  code which will be constructed from Table 10E, 10E0XZZ Delivery of Products of Conception, External Approach.

3) Extraction.(D)

Pulling or stripping out or off all or a portion of body part by the use of force.

Extraction coding tips are as follows:

• The root operation Extraction applies to Cesarean deliveries and to vaginal deliveries require the use of forceps, vacuum or internal version.

• Cesarean deliveries always are reported with the approach value 0 for open approach and need a qualifier to more specifically identify the approach as Classical (0), Low Cervical (1) or Extraperitoneal (2).

• Vaginal extractions always are reported with the approach value 7, Via Natural or Artificial Opening, and require a qualifier to specifically identify the type of assisted vaginal delivery as Low Forceps (3), Mid Forceps (4), High Forceps (5), Vacuum (6), Internal Version (7) or Other (8).

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