ICD-10 Coding for Chorioamnionitis(O41.12X_)
Complete ICD-10-CM coding and documentation guide for Chorioamnionitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chorioamnionitis
O41.1Primary Range
Other disorders of amniotic fluid and membranes
This range includes codes for chorioamnionitis, which is an infection of the amniotic fluid and membranes.
Key Information: ICD-10 code for chorioamnionitis
Essential facts and insights about Chorioamnionitis
Primary ICD-10-CM Code for chorioamnionitis
Decision Criteria
clinical Criteria
- Presence of maternal fever and fetal tachycardia
documentation Criteria
- Documented amniotic fluid analysis
Applicable To
- Acute chorioamnionitis
Excludes
- O75.2 - Pyrexia during labor (if chorioamnionitis is ruled out)
Clinical Validation Requirements
- Maternal fever ≥38°C (oral) twice or ≥39°C once
- Fetal tachycardia >160 bpm
- Amniotic fluid glucose ≤14 mg/dL
- WBC >30 cells/mm³
Code-Specific Risks
- Incorrect trimester coding
- Failure to document supporting clinical findings
Coding Notes
- Ensure trimester is specified to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Weeks of gestation
Z3A.__Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Pyrexia during labor
O75.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chorioamnionitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O41.12X_.
Impact
Clinical: Inaccurate clinical picture of the pregnancy., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always include Z3A.__ code for gestational age.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure trimester is documented and coded correctly.
Impact
Failure to document trimester can lead to coding errors.
Mitigation Strategy
Ensure trimester is clearly documented in the medical record.
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 Chorioamnionitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chorioamnionitis
Use these documentation templates to ensure complete and accurate documentation for Chorioamnionitis. These templates include all required elements for proper coding and billing.
Acute chorioamnionitis in labor
Specialty: ObstetricsRequired Elements
- Maternal fever
- Fetal heart rate
- Amniotic fluid analysis
- Trimester documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Chorioamnionitis? Ask your questions below.