A 30-year-old woman, 35 weeks pregnant with twins, presented to triage for evaluation after a sonogram showed baby A with oligohydramnios and baby B with intrauterine growth retardation (IUGR). The patient agreed to proceed with induction of labor and was admitted to labor and delivery. She was induced with Cervidil, due to IUGR, and viable twins were delivered by normal spontaneous vaginal delivery with no complications. The discharge diagnosis indicates preterm delivery. Is it appropriate to assign code 644.21, Early onset of delivery, delivered, with or without mention of antepartum condition, in a patient admitted for induction of labor? If it is appropriate to assign code 644.21, would it be the principal or secondary diagnosis?
Do not assign code 644.21, Early onset of delivery, delivered, with or without mention of antepartum condition, since labor was induced. Labor was induced with Cervidil; therefore, there was no premature labor with onset of delivery.