AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

7th Character Assignment for Preterm Labor in Multiple Gestation Pregnancy

We have had a discussion on how to assign the 7th character for fetus identification on a third trimester twin preterm delivery. Some coders feel code O60.14X0 should be assigned as the fetus was not specified, but others feel that because both babies were delivered pre-term, you would assign codes O60.14X1 and O60.14X2 to show that the preterm delivery affected both babies. What is the correct code assignment? ...

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