ICD-10 Coding for Oligohydramnios(O41.0X-)
Complete ICD-10-CM coding and documentation guide for Oligohydramnios. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Oligohydramnios
O41.0Primary Range
Oligohydramnios
This range covers all codes related to oligohydramnios, specifying trimester and fetus number.
Key Information: ICD-10 code for oligohydramnios
Essential facts and insights about Oligohydramnios
Primary ICD-10-CM Code for oligohydramnios
Decision Criteria
clinical Criteria
- AFI <5 cm or MVP <2 cm on ultrasound
documentation Criteria
- Specify trimester and fetus number
Applicable To
- Oligohydramnios without premature rupture of membranes
Excludes
- Oligohydramnios with premature rupture of membranes (O42.0-)
Clinical Validation Requirements
- AFI <5 cm
- MVP <2 cm
Code-Specific Risks
- Incorrect trimester or fetus number can lead to denials.
Coding Notes
- Ensure to document AFI or MVP values clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Multiple gestation
O30.0-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Premature rupture of membranes
O42.0-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Oligohydramnios to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O41.0X-.
Impact
Clinical: Inadequate clinical assessment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Standardize ultrasound reporting templates.
Impact
Reimbursement: May lead to claim denials or reduced payments., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always include trimester and fetus number in documentation.
Impact
Lack of specific AFI/MVP values.
Mitigation Strategy
Implement checklist for required 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 Oligohydramnios, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Oligohydramnios
Use these documentation templates to ensure complete and accurate documentation for Oligohydramnios. These templates include all required elements for proper coding and billing.
Oligohydramnios diagnosis in second trimester
Specialty: ObstetricsRequired Elements
- Gestational age
- AFI/MVP values
- Fetus number
- Associated conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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