AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 4; Ask the Editor

Meconium Staining without Fetal Distress

The provider documents meconium stained fluid on the labor and delivery record without mention of fetal distress. Delivery complicated by meconium in amniotic fluid is indexed to code O77.0, Labor and delivery complicated by meconium in amniotic fluid. Since, this code is in code category O77, Other fetal stress complicating labor and delivery, it appears inappropriate to assign code O77.0, without the provider documenting fetal distress. What is the correct code assignment for meconium stained fluid when fetal distress is not specifically documented? ...

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