AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 1; Ask the Editor

Intrahepatic Cholestasis of Pregnancy

A patient with a dichorionic diamniotic twin pregnancy was admitted for a scheduled primary cesarean section. She was also diagnosed with intrahepatic cholestasis of pregnancy. Code O26.62, Liver and biliary tract disorders in childbirth, was assigned, to capture the obstetrical complication. ICD-10-CM classifies cholestasis to code K83.1, Obstruction of bile duct. Is it appropriate to assign code K83.1, as a secondary diagnosis when there is no specific documentation of obstruction? ...

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