Understanding Vaginal Delivery? Find information on vaginal birth, spontaneous vaginal delivery, normal delivery, and related medical coding terms like ICD-10 code for vaginal delivery, delivery codes, and SNOMED CT for vaginal birth. Learn about clinical documentation requirements, postpartum care, and common complications associated with vaginal deliveries for accurate healthcare reporting and coding. This resource provides essential details for medical professionals, coders, and healthcare providers involved in obstetrics and gynecology.
Also known as
Encounter for delivery
Codes for vaginal and cesarean deliveries.
Pregnancy with abortive outcome
Not directly vaginal delivery, but relevant for complications.
Complications of labor and delivery
Covers potential issues arising during vaginal delivery.
Outcome of delivery
Single liveborn, twins, etc., useful for specifying outcome.
Follow this step-by-step guide to choose the correct ICD-10 code.
Single liveborn infant delivered vaginally?
Yes
Any complications?
No
Multiple gestation?
When to use each related code
| Description |
|---|
| Vaginal delivery |
| Vacuum-assisted delivery |
| Forceps-assisted delivery |
Coding vaginal delivery without specifying spontaneous or assisted (forceps/vacuum) can lead to inaccurate DRG assignment and reimbursement.
Failing to code repairs of episiotomy or lacerations alongside vaginal delivery undercodes severity, impacting quality metrics and reimbursement.
Not linking relevant antepartum diagnoses (e.g., gestational diabetes) to the vaginal delivery code can impact severity and case mix index.
Vaginal delivery occurred spontaneously at term. Patient presented in active labor with regular uterine contractions and progressive cervical dilation. Fetal presentation was vertex. Spontaneous rupture of membranes occurred prior to arrival. Labor progressed without complications. Fetal heart rate monitoring remained reassuring throughout labor and delivery. Episiotomy was not performed. A healthy female neonate was delivered vaginally with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. Placenta delivered spontaneously and was intact. Minimal blood loss estimated at 250 mL. Postpartum examination revealed a firm, contracted uterus. The patient tolerated the delivery well and is stable. Diagnosis: Vaginal delivery, full term, spontaneous, live birth, female. Relevant keywords: vaginal birth, normal delivery, spontaneous vaginal delivery, full-term delivery, live birth, newborn, postpartum, Apgar score, placental delivery, estimated blood loss, uterine contraction, cervical dilation, fetal heart rate monitoring, vertex presentation, spontaneous rupture of membranes, labor management, obstetrics, childbirth, delivery, pregnancy, maternal health, neonatal health, ICD-10-CM O80.0, O80.1.