This blog post will answer all your questions about this horrendous ICD-10 invention.Adding a 7th code when not required or vice versa can lead to claim denials, so caution is advised.Essentially the 7th character is used in the following chapters:Let’s suppose you are coding for a patient with (Strain of right Achilles tendon, S86.011).

Joan, pregnant with her first baby (single gestation), is ready to deliver but the baby is in breech position. 3. Note: the seventh character of "0" is used for a single gestation as this case does not describe it to be a twin or other multiple gestation. In some Unix shells the semicolon (";") is a statement separator. Non-mammalian species that display gestation carry around developed, rather than developing fetuses in their body. When reporting ICD-10-CM codes, coders must add a placeholder so the seventh character is in the correct position. It may seem daunting, but unlike 4th edition character sheets, which are super complicated, 5th edition forms are a lot easier to manage. When comparing the ICD-9-CM and ICD-10-CM obstetric guidelines, coding professionals should note both revised and completely new guidelines in ICD-10-CM. what 7th character is for single gestation? The 7th character will be a number 0 to 5 or the number 9. Report 032.1xx0 (maternal care for breech presentation, not applicable). What is the correct ICD-10-PCS root operation for Cesarean deliveries> Extraction T or F; The date of the admission should be used to determine weeks of gestation for impatient admissions that encompass more than one gestational week “0” (zero) means the idea of “fetus identification” is not applicable because it’s not a multiple gestation.• Remember, using a number from 1 to 9 to identify a fetus is only applicable to multiple gestations and clinical documentation in the record is what is used to identify fetus 1, fetus 2, and so on.Let’s take a look at an example of a common obstetric coding scenario, a breech presentation of a single fetus.The correct code to assign for this scenario is O32.1XX0.The category of O32 indicates maternal care for mal-presentation of fetus. Don’t worry! Now a 7th character is needed to be added to this code and since this code has fewer than 6 characters, you would add the dummy placeholders in the empty spots. Z37.0, Single liveborn; Z3A.33, 33 weeks gestation of pregnancy Per the coding guideline for fetus identification, a seventh character of "0" is assigned for all three obstetric complications since this is a single gestation. A 7th character of “9” is assigned to any fetus beyond fetus 5.• Do not get confused and assign a character value of “1”, for fetus 1, for a single gestation pregnancy. Certain complications of pregnancy are specified by the 7th character, and in the case of multiple gestations, the 7th character helps to distinguish which fetus(es) are affected by the diagnosis being coded. Happy Coding! If you have a query, please submit it in the comments section below.The 7th character in ICD-10 can be as deadly as the seven deadly sins. Now let’s assume that the patient is in the recovery phase of the condition, hence you will add the 7th character extension “D”. The 7th character will be a number 0 to 5 or the number 9. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O41 that has a 7th character of 1 through 9. In this situation, the trimester character for the antepartum complication code should be assigned based on the trimester when the complication developed, not the trimester of discharge. Now a 7th character is needed to be added to this code and since this code has fewer than 6 characters, you would add the dummy placeholders in the empty spots. I.C.15.l Alcohol and Tobacco Use During Pregnancy, Childbirth and the Puerperium The designation of “fetus 1” tells you this is a multiple gestation pregnancy.

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