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ICD-10 Coding for Arrest of Dilation(O62.1)

Complete ICD-10-CM coding and documentation guide for Arrest of Dilation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Arrested Active Phase of LaborFailure to Progress in Active Labor

Related ICD-10 Code Ranges

Complete code families applicable to Arrest of Dilation

O62-O62.9Primary Range

Abnormalities of forces of labor

This range includes codes for various labor abnormalities, including arrest of dilation.

Key Information: ICD-10 code for arrest of dilation

Essential facts and insights about Arrest of Dilation

The ICD-10 code for arrest of dilation is O62.1, used for secondary uterine inertia when specific criteria are met.

Primary ICD-10-CM Code for arrest of dilation

Secondary uterine inertia
Billable Code

Decision Criteria

clinical Criteria

  • Cervical dilation of 6 cm or more with no progress for specified hours

documentation Criteria

  • Detailed documentation of contraction strength and duration of arrest

Applicable To

  • Arrested active phase of labor

Excludes

  • Primary uterine inertia (O62.0)

Clinical Validation Requirements

  • Cervical dilation of 6 cm or more
  • Rupture of membranes
  • No cervical change for 4 hours with adequate contractions or 6 hours with inadequate contractions

Code-Specific Risks

  • Incorrectly coding before 6 cm dilation
  • Missing documentation of contraction adequacy

Coding Notes

  • Ensure documentation includes specific criteria for active phase arrest.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Gestational age

Z3A.__
Use to specify the gestational age of the pregnancy.

Outcome of delivery

O80-O84
Use to specify the type of delivery outcome.

Fetal distress

O68.0-O68.9
Use if fetal distress is present during labor.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Primary uterine inertia

O62.0
Use for latent phase arrest or when criteria for active phase arrest are not met.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Arrest of Dilation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O62.1.

Impact

Clinical: May lead to inappropriate clinical decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Use standardized templates for labor documentation, Regular training on documentation requirements

Impact

Reimbursement: Incorrect coding can lead to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data.

Mitigation Strategy

Ensure documentation confirms cervical dilation of 6 cm or more before coding O62.1.

Impact

Inadequate documentation of labor progress and contraction patterns.

Mitigation Strategy

Implement regular audits and feedback sessions.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Arrest of Dilation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Arrest of Dilation

Use these documentation templates to ensure complete and accurate documentation for Arrest of Dilation. These templates include all required elements for proper coding and billing.

Active Phase Arrest Documentation

Specialty: Obstetrics

Required Elements

  • Cervical dilation
  • Membrane status
  • Contraction pattern
  • Duration of arrest
  • Oxytocin administration

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient failed to progress, decision for CS.
Good Documentation Example
At 6 cm dilation x 4 hrs 15 min since SROM. IUPC shows MVUs 220-250. Oxytocin running 6 mu/min x 6 hrs. No cervical change despite adequate contractions. Diagnosis: Active phase arrest.
Explanation
The good example provides specific criteria and details required for accurate coding.

Need help with ICD-10 coding for Arrest of Dilation? Ask your questions below.

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