Understanding Spontaneous Vaginal Delivery (SVD) diagnosis, documentation, and medical coding? Find information on SVD vs. Cesarean section, normal delivery, vaginal birth, labor and delivery, obstetric codes, ICD-10 codes for SVD, postpartum care, and delivery complications. Learn about accurate clinical documentation for SVD, including key components and best practices for healthcare professionals. This resource helps with proper medical coding for billing and reimbursement related to spontaneous vaginal delivery.
Also known as
Encounter for delivery
Encompasses various delivery scenarios, including spontaneous vaginal delivery.
Vaginal delivery with complicating diagnoses
Covers vaginal deliveries with complications like prolonged labor.
Outcome of delivery
Includes codes for single and multiple liveborns delivered vaginally.
Weeks of gestation
Specifies gestational age at delivery, relevant for accurate coding.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the delivery single liveborn?
Yes
Term delivery (37+ weeks)?
No
Multiple gestation delivery?
When to use each related code
| Description |
|---|
| Spontaneous vaginal delivery |
| Assisted vaginal delivery |
| Vaginal delivery w/o complicating diagnoses |
Coding SVD without specifying vaginal, assisted, or cesarean can lead to inaccurate reimbursement and data reporting.
Failing to code co-existing complications like lacerations or postpartum hemorrhage impacts severity and payment.
Incorrectly documented or coded gestational age affects risk adjustment and quality metrics for SVD deliveries.
Patient presented for routine postpartum assessment following a spontaneous vaginal delivery (SVD). Gestational age at delivery was confirmed as 39 weeks and 2 days. The patient experienced a normal spontaneous labor with spontaneous rupture of membranes occurring at full cervical dilation. Fetal presentation was vertex. No complications were noted during labor, delivery, or the immediate postpartum period. Apgar scores were 9 at 1 minute and 9 at 5 minutes. Estimated blood loss (EBL) was within normal limits for vaginal delivery, approximated at 250 mL. The placenta was delivered spontaneously and appeared complete. Lacerations were assessed and classified as first-degree, requiring repair with absorbable sutures. Postpartum vital signs remained stable. The patient is currently breastfeeding successfully and reports adequate pain control with prescribed ibuprofen. Plan of care includes continued postpartum monitoring, lactation support, and routine postpartum follow-up in 6 weeks. Patient education provided regarding newborn care, postpartum recovery, and signs of potential complications such as postpartum hemorrhage, infection, and thromboembolism. Diagnosis: Normal spontaneous vaginal delivery, first-degree perineal laceration. ICD-10 code: O80, O70.0.