ICD-10 Coding for Sulcal Laceration During Delivery(O71.4)
Complete ICD-10-CM coding and documentation guide for Sulcal Laceration During Delivery. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sulcal Laceration During Delivery
O71-O75Primary Range
Other obstetric trauma
This range includes codes for obstetric trauma, including high vaginal lacerations.
Key Information: ICD-10 code for sulcal laceration during delivery
Essential facts and insights about Sulcal Laceration During Delivery
Primary ICD-10-CM Code for sulcal laceration during delivery
Decision Criteria
clinical Criteria
- Presence of a high vaginal laceration during delivery
documentation Criteria
- Detailed description of the laceration's location and repair
Applicable To
- Sulcal laceration during delivery
Excludes
- Perineal laceration (O70.-)
Clinical Validation Requirements
- Documentation of a high vaginal laceration during delivery
- Description of the laceration's location and depth
Code-Specific Risks
- Incorrectly coding as a perineal laceration
- Omitting detailed documentation of the laceration
Coding Notes
- Ensure detailed documentation of the laceration's location and repair method.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Single liveborn
Z37.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sulcal Laceration During Delivery to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O71.4.
Impact
Clinical: Inadequate clinical records, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use structured templates for documentation., Ensure all repair details are recorded.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure the laceration's location is documented as high vaginal or sulcal.
Impact
Coding sulcal tears as perineal lacerations.
Mitigation Strategy
Educate providers on correct coding practices.
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 Sulcal Laceration During Delivery, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sulcal Laceration During Delivery
Use these documentation templates to ensure complete and accurate documentation for Sulcal Laceration During Delivery. These templates include all required elements for proper coding and billing.
Repair of sulcal laceration during delivery
Specialty: ObstetricsRequired Elements
- Location and depth of laceration
- Repair method and materials
- Time taken for repair
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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