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Diagnosis coding for vacuum extraction

Author: Preview Account Views: 1497 Created: 2010-11-02 07:29 Last Updated: 2010-11-22 10:22

In case a spontaneous vertex delivery ends with a vacuum extraction and episiotomy. Which is the correct code for the principal diagnosis?
O80.0 (spontaneous vertex delivery) or O81.4 (vacuum extractor delivery)?

HIO Team answers:

The code O80.0 should only be used for vaginal delivery without major complications. If you need to perform a vacuum extraction, there must have been complications in delivery. Please use this complication as the principal diagnosis, most probably out of the chapter O60-O75 Complications of labour and delivery.

Additionaly code the procedure 72.71 Vacuum extraction with episiotomy.