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ICD-10 Coding for Induction of Labor(O61.9, 3E033VJ)

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

Also known as:

Labor InductionIOL

Related ICD-10 Code Ranges

Complete code families applicable to Induction of Labor

O61-O62Primary Range

Abnormalities of forces of labor

This range includes codes for induction of labor, including failed induction.

Weeks of gestation

Used to specify the gestational age at the time of induction.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
O61.9Failed induction of labor, unspecifiedUse when induction is attempted but does not result in delivery.
  • Documentation of attempted induction with no resulting delivery
  • Methods used for induction (e.g., oxytocin, prostaglandins)
3E033VJIntroduction of other therapeutic substance into peripheral vein, percutaneous approachUse when oxytocin is administered for induction before labor onset.
  • Documentation of oxytocin use prior to labor onset

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for failed induction of labor

Essential facts and insights about Induction of Labor

The ICD-10 code for failed induction of labor is O61.9, used when induction does not result in delivery.

Primary ICD-10-CM Codes for induction of labor

Failed induction of labor, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Induction attempt documented with no delivery

documentation Criteria

  • Methods and duration of induction attempt

Applicable To

  • Unsuccessful induction of labor

Excludes

  • Successful induction of labor

Clinical Validation Requirements

  • Documentation of attempted induction with no resulting delivery
  • Methods used for induction (e.g., oxytocin, prostaglandins)

Code-Specific Risks

  • Incorrectly coding successful induction as failed
  • Lack of documentation on methods used

Coding Notes

  • Ensure documentation clearly states the induction attempt and outcome.

Ancillary Codes

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

Introduction of other therapeutic substance into peripheral vein, percutaneous approach

3E033VJ
Use for oxytocin administration during induction.

Differential Codes

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

Encounter for full-term uncomplicated delivery

O80
Use O80 for successful induction resulting in uncomplicated delivery.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Induction of Labor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O61.9.

Impact

Clinical: Inaccurate patient records., Regulatory: Potential audit issues., Financial: Denied claims due to incomplete documentation.

Mitigation Strategy

Ensure outcome is documented in the patient's record., Use templates to capture all necessary details.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Only code as induction if oxytocin is used before labor onset.

Impact

Confusion between induction and augmentation can lead to incorrect coding.

Mitigation Strategy

Educate staff on the differences and ensure clear documentation.

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 Induction of Labor, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Induction of Labor

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

Induction of labor for post-term pregnancy

Specialty: Obstetrics

Required Elements

  • Indication for induction
  • Method of induction
  • Response to induction
  • Outcome of induction

Example Documentation

Induction initiated at 41 weeks due to post-term pregnancy. Oxytocin started at 2mU/min.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Induction done with Pitocin.
Good Documentation Example
Oxytocin infusion started at 2mU/min for induction of labor at 40+5 weeks (Z3A.40); Bishop score 5.
Explanation
The good example provides specific details on the method, dosage, and gestational age.

Need help with ICD-10 coding for Induction of Labor? Ask your questions below.

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