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ICD-10 Coding for Failed External Cephalic Version(O32.1XX0)

Complete ICD-10-CM coding and documentation guide for Failed External Cephalic Version. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Unsuccessful ECVFailed Breech Version

Related ICD-10 Code Ranges

Complete code families applicable to Failed External Cephalic Version

O32.1-O32.8Primary Range

Maternal care for malpresentation of fetus

This range includes codes for maternal care due to fetal malpresentation, such as breech, which is relevant for coding failed ECV attempts.

Maternal care for suspected fetal abnormality and damage

This range is relevant for coding complications like fetal stress during ECV attempts.

Oligohydramnios

This range may be relevant if oligohydramnios is a factor in the failed ECV.

Key Information: ICD-10 code for failed external cephalic version

Essential facts and insights about Failed External Cephalic Version

The ICD-10 code for a failed external cephalic version due to breech presentation is O32.1XX0.

Primary ICD-10-CM Code for failed external cephalic version

Maternal care for breech presentation, not applicable or unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed breech presentation via ultrasound

documentation Criteria

  • Detailed procedure notes of ECV attempt

Applicable To

  • Breech presentation

Excludes

  • Normal presentation

Clinical Validation Requirements

  • Ultrasound confirmation of breech presentation
  • Documentation of ECV attempt

Code-Specific Risks

  • Incorrectly coding without specifying the fetus in multiple gestations.

Coding Notes

  • Ensure to specify the fetus number in multiple gestations.

Ancillary Codes

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

Single live birth

Z37.0
Use to document the outcome of the delivery.

Suspected fetal compromise affecting management

O36.593-
Use if fetal distress occurs during the ECV.

Differential Codes

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

Maternal care for other malpresentation of fetus

O32.8XX0
Use for non-breech malpresentations.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Failed External Cephalic Version to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O32.1XX0.

Impact

Clinical: Inadequate information for future care decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.

Mitigation Strategy

Use structured templates for documenting procedures.

Impact

Reimbursement: May lead to incorrect payment adjustments., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate procedure data.

Mitigation Strategy

Do not use modifier 52 if the procedure was fully attempted.

Impact

Incorrect use of modifiers for failed ECV attempts.

Mitigation Strategy

Educate coding staff on proper modifier usage.

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 Failed External Cephalic Version, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Failed External Cephalic Version

Use these documentation templates to ensure complete and accurate documentation for Failed External Cephalic Version. These templates include all required elements for proper coding and billing.

Failed ECV Attempt

Specialty: Obstetrics

Required Elements

  • Gestational age
  • Presentation type
  • Procedure attempts
  • Fetal monitoring results
  • Post-procedure outcomes

Example Documentation

External cephalic version performed at 37 weeks for breech presentation. Two attempts made with ultrasound guidance. Fetal heart rate monitored continuously, no decelerations noted. Procedure unsuccessful, breech presentation persists.

Examples: Poor vs. Good Documentation

Poor Documentation Example
ECV attempted, unsuccessful.
Good Documentation Example
External cephalic version attempted at 37 weeks. Breech presentation confirmed via ultrasound. Two attempts made; fetal heart rate monitored, no decelerations. Procedure unsuccessful, breech presentation persists.
Explanation
The good example provides detailed procedural information and monitoring outcomes, ensuring comprehensive documentation.

Need help with ICD-10 coding for Failed External Cephalic Version? Ask your questions below.

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