AHA Coding Clinic® for ICD-9 - 2011 Quarter 4; VOLUMES 1 & 2 NEW/REVISED CODES
Early Cesarean Section
A 37-year-old female, gravida 2, para 1, with a previous history Cesarean section, and plan for elective C-section (at 39 weeks) for this delivery, presented to the hospital in active labor at 38 completed weeks of gestation. A classical C-section was performed with delivery of a healthy baby without any complications. How should this be coded? ...
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Article Overview
This article covers an ICD-9-CM update effective October 1, 2011, focused on pregnancy and delivery coding for planned cesarean sections when spontaneous labor occurs after 37 completed weeks but before 39 completed weeks. It discusses the new code family at category 649, the purpose of the change for data collection and quality reporting, and a brief clinical scenario involving obstetric coding context. The article is useful for coders and billing staff working in obstetrics, maternal-fetal care, and diagnosis coding review.
Why This Topic Matters
The update affects how certain delivery encounters are captured in ICD-9-CM and supports more consistent reporting for elective cesarean cases occurring in a specific gestational window.
What You Will Learn
- The scope of the ICD-9-CM pregnancy coding update effective October 1, 2011.
- How the article frames the new category 649 code family for cesarean delivery timing.
- Why the change was introduced for quality and data collection purposes.
- How an obstetric coding scenario is presented in the article.
Who Should Read This
- Medical coders
- Outpatient and inpatient billing staff
- Obstetrics coding specialists
- Clinical documentation review staff
- Maternal-fetal medicine administrators
Codes Discussed
Code Ranges Discussed
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