Find comprehensive information on labor induction, including clinical documentation, medical coding, and healthcare guidelines. Learn about indications for induction, common induction methods like oxytocin and amniotomy, associated ICD-10 codes (O60), CPT codes, and potential complications. This resource provides valuable insights for healthcare professionals, medical coders, and clinicians involved in the management and documentation of induced labor. Explore best practices for accurate and efficient clinical documentation and coding related to labor induction.
Also known as
Preterm labor
Labor induction often relates to preterm labor management.
Failed induction of labor
Induction may fail, requiring alternative delivery methods.
Abnormalities of forces of labor
Induction addresses insufficient or excessive labor forces.
Premature rupture of membranes
Induction is common after premature membrane rupture.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the patient at term (>= 37 weeks)?
Yes
Is there a medical indication?
No
Is induction for fetal or maternal compromise?
When to use each related code
Description |
---|
Labor Induction |
Failed Induction of Labor |
Precipitous Labor |
Coding labor induction without clear medical necessity documentation, leading to potential overpayment and compliance issues.
Miscoding the specific induction method (e.g., amniotomy, oxytocin) impacting DRG assignment and reimbursement.
Incorrectly coding a failed induction attempt, potentially missing appropriate charges for subsequent procedures like C-section.
Patient presents for labor induction at estimated gestational age of weeks. Indication for induction includes term pregnancy, prolonged pregnancy. Relevant history includes gestational diabetes mellitus controlled with diet, chronic hypertension well-managed with labetalol. Bishop score documented as . Fetal heart rate monitoring demonstrates a reactive tracing with baseline of beats per minute, moderate variability, and accelerations. Cervical examination reveals cervix cm dilated, percent effaced, and fetal station . Plan for induction of labor discussed with patient including risks, benefits, and alternatives. Patient consents to induction. Intravenous access established. Continuous fetal monitoring initiated. Oxytocin administered per protocol for labor augmentation. Maternal vital signs stable. Progress of labor will be monitored closely. Patient tolerated procedure well.