AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask the Editor

Triple I (Chorioamnionitis)

The patient is a 29-year-old, who had a spontaneous vaginal delivery. The provider’s final diagnostic statement listed, “Triple I, premature rupture of fetal membranes, and anemia.” Our physicians have recently started documenting a diagnosis of “Triple I” for obstetric patients during the delivery episode with no further description. According to our research, “Triple I involves intrauterine inflammation and/or infection, and is clinically chorioamnionitis.” Should we query the physician before assigning a code from subcategory O41.12-, Chorioamnionitis? What is the appropriate code assignment for “Triple I”? ...

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