AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 1; Ask the Editor

Prodromal Labor

A patient was admitted at 37 weeks and 2 days gestation with complaints of decreased fetal movement and painful regular contractions. Due to discomfort, the patient requested an elective cesarean section. The provider discussed lack of cervical dilatation, concerns about delivery prior to 39 weeks, and the possibility of respiratory distress syndrome in the newborn. The patient elected to proceed with a low-transverse cesarean delivery. When the provider was queried regarding the etiology of the painful regular contractions, prodromal labor was documented as the definitive diagnosis. Is prodromal labor the same as false labor? What is the correct code assignment for prodromal labor when lack of cervical dilatation is also documented? ...

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