AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; Ask the Editor

Supervision of High-Risk Pregnancy (Elderly Multigravida or Primigravida)

If an elderly multigravida or primigravida mother has a normal delivery, would a code for “normal delivery” be the principal diagnosis with the elderly supervision code as the secondary diagnosis in ICD-10-CM? An edit of “unacceptable principal diagnosis” is triggered, when assigning code O09.523, Supervision of elderly multigravida, third trimester. Therefore, when the patient has a completely normal delivery, and the only issue is advanced maternal age, what diagnosis code is assigned? ...

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