AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor
Second Degree Obstetric Perineal Laceration
By definition, a second degree perineal laceration involves rupture or tearing of the perineal muscle(s). Would physician documentation stating, “Second degree perineal laceration repair” be sufficient to justify assigning an ICD-10-PCS repair code (0KQM0ZZ)? Or, is it required that the documentation specify “perineal muscle”? ...
Subscribe or sign in to view the full article.
Article Overview
This short coding article discusses whether obstetric documentation for a second degree perineal laceration is sufficient to support assignment of an ICD-10-PCS repair code. It is aimed at coders and CDI or billing staff working with obstetric procedure documentation and clarifies the level of specificity discussed in the source.
Why This Topic Matters
Accurate procedure coding depends on whether the documented diagnosis provides enough specificity for the selected ICD-10-PCS repair code.
What You Will Learn
- How the article frames documentation sufficiency for obstetric perineal laceration repair.
- What broad ICD-10-PCS procedure coding issue is being discussed.
- How the topic relates to obstetric documentation specificity.
- What type of coding question the article addresses.
Who Should Read This
- Medical coders
- CDI specialists
- OB/GYN billing staff
- Revenue cycle teams
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com