Coding

  • 1.  O34.219 or Z98.891

    Posted 08-04-2023 11:56

    My question is regarding  Repeat Low Transverse Cesarean Delivery ICD 10 codes. Which one should be used Z98.891 or O34.219.



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    Barbara Rodenius
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  • 2.  RE: O34.219 or Z98.891

    Posted 08-05-2023 17:03

    Hi Barbara,

    I would use O34.211 (Maternal care for low transverse scar from previous cesarean delivery). You could use Z98.891 (History of uterine scar from previous surgery) but the O code is more specific &/or appropriate for billing.

    Hope this helps.

    Fadi



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    Fadi BSAT, MD, FAIUM
    Chair, SMFM Practice Management Committee
    Past Chair, SMFM Coding Committee
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  • 3.  RE: O34.219 or Z98.891

    Posted 08-06-2023 11:15
    Thank you. My doctor started using this Z98.891code more, since related to current visits it should be O34.219. So for a PP visit they can use Z98.891. 





  • 4.  RE: O34.219 or Z98.891

    Posted 08-07-2023 13:01

    Hi Barbara, 

    I concur to use the O34.219 code for the repeat cesarean delivery (rather than the Z code; whenever there is an applicable O code, it is recommended to use the O code rather than the Z code). For the PP visit, you may use the Z code since she is no longer pregnant technically. 

    Thank you for your question! We hope this information has helped your practice. 

    Steve



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    Steve Rad, MD, FACOG
    Chair, SMFM Coding Committee
    Los Angeles, CA
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