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ICD-10 Coding for Occiput Anterior(O80)

Complete ICD-10-CM coding and documentation guide for Occiput Anterior. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

OANormal Fetal Position

Related ICD-10 Code Ranges

Complete code families applicable to Occiput Anterior

O80Primary Range

Encounter for full-term uncomplicated delivery

Used for normal deliveries where the fetus is in the occiput anterior position without complications.

Obstructed labor due to malposition

Relevant if occiput anterior position leads to complications requiring intervention.

Key Information: ICD-10 code for occiput anterior

Essential facts and insights about Occiput Anterior

Occiput anterior is a normal fetal position. Use O80 for uncomplicated deliveries.

Primary ICD-10-CM Code for occiput anterior

Encounter for full-term uncomplicated delivery
Billable Code

Decision Criteria

clinical Criteria

  • Fetus in occiput anterior position confirmed by exam

coding Criteria

  • No operative interventions used

documentation Criteria

  • Detailed labor and delivery notes confirming OA

Applicable To

  • Spontaneous vaginal delivery
  • Occiput anterior position

Excludes

  • Operative vaginal delivery
  • Complications during labor

Clinical Validation Requirements

  • OA position confirmed by ultrasound or manual exam
  • No interventions required during delivery

Code-Specific Risks

  • Incorrectly coding operative deliveries as O80

Coding Notes

  • Ensure documentation specifies OA position and no complications.

Ancillary Codes

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

Weeks of gestation

Z3A
Mandatory for all delivery codes.

Differential Codes

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

Obstructed labor due to incomplete rotation

O64.0
Use if OA converts to OP/OT requiring intervention.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Occiput Anterior to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O80.

Impact

Clinical: Misrepresentation of fetal position, Regulatory: Non-compliance with documentation standards, Financial: Potential for incorrect billing

Mitigation Strategy

Train staff on documentation specificity, Use templates that prompt for detailed entries

Impact

Reimbursement: Incorrect reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Ensure no complications or interventions occurred before using O80.

Impact

Using O80 for deliveries with interventions or complications.

Mitigation Strategy

Regular audits and staff training on delivery coding.

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 Occiput Anterior, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Occiput Anterior

Use these documentation templates to ensure complete and accurate documentation for Occiput Anterior. These templates include all required elements for proper coding and billing.

Normal delivery with OA position

Specialty: Obstetrics

Required Elements

  • Fetal position confirmation
  • Delivery type
  • Gestational age

Example Documentation

Fetal position: Occiput anterior confirmed via ultrasound. Delivery: Spontaneous vaginal at 40 weeks.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Vertex presentation, normal delivery.
Good Documentation Example
Occiput anterior position confirmed, spontaneous vaginal delivery at 40 weeks.
Explanation
The good example specifies the fetal position and delivery details, ensuring accurate coding.

Need help with ICD-10 coding for Occiput Anterior? Ask your questions below.

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