AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Peripartum Cardiomyopathy

The patient is a 49-year-old who presented for heart transplantation surgery because of end stage heart failure due to peripartum cardiomyopathy which developed four years postpartum. The Official Guidelines for Coding and Reporting state that the peripartum period is defined as the last month of pregnancy to five months postpartum. The guidelines also state that chapter 15 codes may also be used to describe pregnancy-related complications after the peripartum or postpartum period if the provider documents that a condition is pregnancy related. In this case, would it be appropriate to assign code O90.3, Peripartum cardiomyopathy, years after the postpartum period or should O94, Sequela of complication of pregnancy, childbirth and the puerperium, be assigned? ...

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