AHA Coding Clinic® for ICD-9 - 2013 Issue 2; Clarification

Preterm Delivery

Coders are seeking clarification of advice published in Coding Clinic, Third Quarter 2011, page 3, about code 644.21, Early onset of delivery, delivered, with or without mention of antepartum condition. The advice states “do not assign code 644.21, since labor was induced. Labor was induced with Cervidil; therefore, there was no premature labor with onset of delivery.” Some coders feel the advice is inaccurate and code 644.2x should be assigned for any delivery before 37 completed weeks of gestation, regardless of whether the labor is spontaneous or induced. Please clarify the Coding Clinic advice. ...

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