Coding Tip: PDX Selection in OB Records
RHIT, CDIP, CCS, CCS-P
Director of Coding Quality Assurance
AHIMA Approved ICD-10-CM/PCS Trainer
AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, First Quarter 2016 clarifies and updates a lot of different coding dilemmas. This CC is effective with March 18, 2016 discharges. I would encourage coders to read this publication and familiarize yourself with the updates as there are many that will apply to your everyday coding.
One of the issues addressed in this publication is PDX selection on obstetrical records and the misinterpretation of the official coding guidelines.
Selection of PDX on Delivery Records
The condition that prompted the admission or main circumstances of admission would be the PDX. The only time that the complication of delivery would be the PDX is if the patient was admitted for routine pregnancy and no delivery and then a complication occurs. See pages 3-8 of CC 1Q2016 for further explanation and examples.
This was not a change from the official guidelines but a clarification of the guidelines for reporting PDX on OB records.
AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, First Quarter 2016, Pages 10-11
ICD-10-CM Official Guidelines for Coding and Reporting FY 2016 Page 53
The Obstetrics Principal Diagnosis Selection and Coding is now ready for customers of HIALearn to view by clicking on this link: https://learning.hiacode.com/sites/Obstetrics%20Principal%20Diagnosis/SitePages/Home.aspx
The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
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