ICD-10 Coding for Preterm Contractions(O60.0XX0, O60.1XX0, O47.0)
Complete ICD-10-CM coding and documentation guide for Preterm Contractions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Preterm Contractions
O60-O60.9Primary Range
Preterm labor and delivery
This range covers all codes related to preterm labor, including those with and without delivery.
False labor
This range includes codes for false labor, which must be differentiated from true preterm labor.
Premature rupture of membranes (PROM)
Codes in this range are used when PROM is present, often in conjunction with preterm labor codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O60.0XX0 | Preterm labor without delivery | Use when preterm contractions occur without resulting in delivery. |
|
| O60.1XX0 | Preterm labor with preterm delivery | Use when preterm labor results in delivery. |
|
| O47.0 | False labor | Use when contractions occur without cervical change. |
|
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 contractions
Essential facts and insights about Preterm Contractions
Primary ICD-10-CM Codes for preterm contractions
Decision Criteria
clinical Criteria
- Presence of regular contractions and cervical change without delivery.
Applicable To
- Preterm contractions without progression to delivery
Excludes
- False labor (O47.0)
Clinical Validation Requirements
- Regular uterine contractions
- Cervical dilation <3 cm
- No progression to delivery
Code-Specific Risks
- Misclassification as false labor
- Omitting gestational age documentation
Coding Notes
- Ensure documentation includes contraction frequency and cervical status.
O60.1XX0 - Preterm labor with preterm delivery
Use when preterm labor results in delivery.
Applicable To
- Preterm labor resulting in delivery before 37 weeks
Excludes
- False labor (O47.0)
Clinical Validation Requirements
- Cervical dilation ≥3 cm
- Effacement ≥80%
- Delivery before 37 weeks
Coding Notes
Ensure delivery details are documented.
O47.0 - False labor
Use when contractions occur without cervical change.
Applicable To
- Contractions without cervical change
Excludes
- Preterm labor (O60.0XX0, O60.1XX0)
Clinical Validation Requirements
- Contractions without cervical change
- Negative fetal fibronectin
Coding Notes
Ensure documentation clearly states lack of cervical change.
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 Preterm Contractions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O60.0XX0.
Impact
Clinical: Leads to incomplete clinical picture., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always include Z3A.XX codes.
Impact
Reimbursement: Incorrect coding can lead to lower reimbursement., Compliance: May result in audit discrepancies., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Verify cervical change and use fetal fibronectin tests.
Impact
Failure to include Z3A.XX codes.
Mitigation Strategy
Implement checklist for obstetric 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 Preterm Contractions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Preterm Contractions
Use these documentation templates to ensure complete and accurate documentation for Preterm Contractions. These templates include all required elements for proper coding and billing.
Preterm labor without delivery
Specialty: ObstetricsRequired Elements
- Gestational age
- Contraction frequency
- Cervical dilation and effacement
- Tocolytic use
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Preterm Contractions? Ask your questions below.