Understanding Induced Labor diagnosis, medical coding, and clinical documentation. Find information on ICD-10 codes for Induced Labor, common indications, labor induction methods, and best practices for healthcare professionals. Learn about relevant clinical terminology, documentation requirements for induced labor, and potential complications. Resources for accurate medical coding and billing related to Induced Labor procedures are also available.
Also known as
Induction of labor
Labor is started artificially for medical reasons.
Preterm labor
Labor begins before 37 weeks of pregnancy, sometimes requiring induction.
Premature rupture of membranes
PROM can lead to the need for induced labor.
Other specified antepartum conditions
Includes other conditions that may necessitate labor induction.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the pregnancy single gestation?
When to use each related code
| Description |
|---|
| Induced labor |
| Failed induction of labor |
| Precipitous labor |
Lacking documentation supporting medical necessity for induced labor vs. spontaneous onset. Impacts DRG assignment and reimbursement.
Incorrectly documented or coded gestational age affecting ICD-10-CM code selection and severity of illness.
Failure to code underlying maternal or fetal condition necessitating induction. Leads to underreporting complexity.
Q: What are the evidence-based indications for induction of labor at 39 weeks and beyond, considering maternal and fetal risks and benefits?
A: Induction of labor at 39 weeks and beyond is indicated when the benefits to the mother or fetus outweigh the risks of expectant management. Evidence-based indications include, but are not limited to: prelabor rupture of membranes at term without spontaneous labor onset, gestational hypertension or preeclampsia, gestational diabetes with poor glycemic control, fetal growth restriction, and oligohydramnios. Elective induction of labor at 39 weeks without medical indication may be considered after shared decision-making discussions with the patient, weighing the potential benefits (reduction in cesarean delivery rates) and risks (increased intervention rates). Clinicians should consult relevant practice guidelines, such as those from ACOG and SMFM, for detailed recommendations. Explore how shared decision-making tools can facilitate discussions about induction of labor.
Q: How do I accurately assess Bishop score and determine cervical favorability for successful induction of labor, minimizing failed inductions and potential complications?
A: Accurate assessment of the Bishop score involves evaluating cervical dilation, effacement, station, consistency, and position. A higher Bishop score (typically 8 or above for nulliparous and 6 or above for multiparous women) indicates a favorable cervix and predicts a higher likelihood of successful induction of labor. Conversely, a low Bishop score suggests an unfavorable cervix, increasing the risk of failed induction and subsequent cesarean delivery. Consider implementing cervical ripening methods like prostaglandins or mechanical dilation prior to oxytocin administration for unfavorable cervixes, to enhance the chances of successful induction. Learn more about different cervical ripening methods and their respective risks and benefits.
Patient presents for induction of labor. Indication for induction includes (insert primary indication e.g., post-term pregnancy, preeclampsia, gestational diabetes, premature rupture of membranes, intrauterine growth restriction, oligohydramnios, fetal demise, or other medically indicated reason). Gestational age confirmed as (insert gestational age) by (insert dating method e.g., first-trimester ultrasound, LMP). Cervical examination reveals Bishop score of (insert Bishop score) with cervix (insert cervical description e.g., dilated X cm, effaced Y%, station Z). Fetal presentation is (insert presentation e.g., cephalic, breech). Fetal heart rate monitoring demonstrates a reassuring baseline heart rate and variability. Risks and benefits of induction of labor, including potential complications such as uterine tachysystole, failed induction, cesarean delivery, and postpartum hemorrhage, were discussed with the patient, and informed consent was obtained. Plan is to proceed with induction of labor using (insert induction method e.g., cervical ripening agents such as prostaglandin E2 gel or balloon catheter, oxytocin infusion, amniotomy). Continuous fetal monitoring and maternal vital signs will be closely monitored throughout the induction process. Progress of labor will be assessed regularly. Patient understands the plan and agrees to proceed.