AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Vaginal Delivery Assisted by Vacuum and Low Forceps Extraction

The patient presented at 39-weeks gestation for delivery. Due to maternal exhaustion, the decision was made to proceed with assisted vaginal delivery. First a vacuum was placed and assistance was given over the course of four contractions with downward progress of the head. Low forceps were then applied to deliver the infant. In ICD-10-PCS, when vaginal delivery is assisted using a vacuum to bring the baby to a lower station, along with the application of forceps, should both methods of assisted delivery be coded? Or is only the low forceps extraction coded?  ...

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