ICD-10 Coding for Labor(O60.0, O80)
Complete ICD-10-CM coding and documentation guide for Labor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Labor
O60-O77Primary Range
Complications of labor and delivery
This range covers various complications that can occur during labor and delivery, including preterm labor, prolonged labor, and fetal distress.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O60.0 | Preterm labor without delivery | Use when preterm labor is diagnosed with cervical change before 37 weeks of gestation. |
|
| O80 | Encounter for full-term uncomplicated delivery | Use for full-term, uncomplicated vaginal deliveries. |
|
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 preterm labor
Essential facts and insights about Labor
Primary ICD-10-CM Codes for labor
Decision Criteria
clinical Criteria
- Presence of cervical change and gestational age less than 37 weeks
Applicable To
- Preterm labor with cervical change
Excludes
- False labor (O47.0)
Clinical Validation Requirements
- Gestational age less than 37 weeks
- Cervical change documented
Code-Specific Risks
- Confusion with false labor if cervical change is not documented
Coding Notes
- Ensure documentation includes cervical change and gestational age.
O80 - Encounter for full-term uncomplicated delivery
Use for full-term, uncomplicated vaginal deliveries.
Applicable To
- Normal delivery
Excludes
- Complicated delivery (O60-O77)
Clinical Validation Requirements
- Full-term gestation
- No complications during delivery
Coding Notes
Ensure no complications are documented to use this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Labor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O60.0.
Impact
Clinical: Inaccurate assessment of labor status., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include gestational age in weeks., Use standardized templates for documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure documentation of cervical change for preterm labor.
Impact
Failure to document gestational age can lead to audit findings.
Mitigation Strategy
Implement mandatory fields in EHR for gestational age.
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 Labor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Labor
Use these documentation templates to ensure complete and accurate documentation for Labor. These templates include all required elements for proper coding and billing.
OB Triage for Labor
Specialty: ObstetricsRequired Elements
- Gravida/Parity
- LMP and EGA
- Contraction pattern
- Cervical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Labor? Ask your questions below.