AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 3; Ask the Editor

Aneurysmal Subarachnoid Hemorrhage with Hydrocephalus following Delivery for Intrauterine Fetal Demise (IUFD)

A pregnant patient was admitted to hospital A after being found unconscious due to an aneurysmal subarachnoid hemorrhage (SAH) with hydrocephalus. An emergency cesarean section was performed with the delivery of a demised fetus at 37 weeks of pregnancy. The patient was subsequently transferred to hospital B for clipping of the ruptured anterior communicating artery aneurysm and placement of an external ventricular drain (EVD) for the hydrocephalus. Is the aneurysmal SAH with hydrocephalus considered a complication of the pregnancy or a complication of the puerperium when assigning codes for Hospital B? ...

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