ICD-10 Coding for Shoulder Dystocia in Occiput Anterior Position(O66.0)
Complete ICD-10-CM coding and documentation guide for Shoulder Dystocia in Occiput Anterior Position. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Shoulder Dystocia in Occiput Anterior Position
O66-O66.9Primary Range
Obstructed labor due to shoulder dystocia
This range includes codes for obstructed labor due to shoulder dystocia, which is the primary condition being addressed.
Obstructed labor due to malposition and malpresentation
This range includes codes for malpresentation, which is relevant for differential diagnosis.
Key Information: What is shoulder dystocia in occiput anterior position?
Essential facts and insights about Shoulder Dystocia in Occiput Anterior Position
Primary ICD-10-CM Code for shoulder occiput anterior
Decision Criteria
clinical Criteria
- Presence of shoulder dystocia in a vertex presentation
documentation Criteria
- Detailed documentation of maneuvers and timing
Applicable To
- Shoulder dystocia in vertex presentation
Excludes
- Obstructed labor due to shoulder presentation (O64.4)
Clinical Validation Requirements
- Documentation of maneuvers used to resolve dystocia
- Head-to-body delivery interval
- Neonatal status post-delivery
Code-Specific Risks
- Incorrectly coding as shoulder presentation
- Insufficient documentation of maneuvers
Coding Notes
- Ensure documentation includes specific maneuvers and times to support coding.
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 Shoulder Dystocia in Occiput Anterior Position to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O66.0.
Impact
Clinical: Inadequate clinical record for future reference., Regulatory: May not meet audit standards., Financial: Potential for denied claims.
Mitigation Strategy
Use structured templates, Train staff on documentation standards
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: May trigger audits due to coding discrepancies., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Ensure the documentation specifies vertex presentation and shoulder dystocia.
Impact
Lack of detailed maneuver documentation can lead to audit issues.
Mitigation Strategy
Implement standardized documentation templates.
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 Shoulder Dystocia in Occiput Anterior Position, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Shoulder Dystocia in Occiput Anterior Position
Use these documentation templates to ensure complete and accurate documentation for Shoulder Dystocia in Occiput Anterior Position. These templates include all required elements for proper coding and billing.
Shoulder dystocia in occiput anterior position
Specialty: ObstetricsRequired Elements
- Fetal position
- Delivery times
- Maneuvers used
- Neonatal status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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