GENERAL PERINATAL RULES FOR ICD-9 CM & ICD-10 CM #ICD10 #ICDRemediator #ICD10Matters #HealthIT

CODING YESTERDAY'S NOMENCLATURE TODAY-GENERAL PERINATAL RULES FOR ICD-9 CM & ICD-10 CM | Coding Yesterday's Nomenclature Today 



According to World Health Organization (WHO) in 2009 there were 2.6 million stillbirths globally with more than 8200 deaths daily (WHO, 2014).  Half of these stillbirths occurred during the intrapartum period (WHO, 2014).  Furthermore, among 133 million babies born alive annually, 2.8 million die in the first week of life (WHO, 2014).  Therefore, the patterns of these deaths are crucial in efforts to reduce these shocking numbers. The plans of WHO to assist countries in providing integrated, evidence-based and cost-effective care for mothers and babies that begin before conception and goes through pregnancy, childbirth and the postpartum period can only be accomplished if the patterns surrounding the mortalities of newborns are accurately captured.   Therefore, medical coding becomes a critical part of the process.



The Perinatal Period for the purposes of medical coding is considered to be before birth through the first 28 days after birth even though death or morbidity occurs later.  Therefore conditions which have their origin during the Perinatal Period have unique codes created specifically for this time period.  These codes are found in Chapter 15, Certain Conditions originating in the Perinatal Period (760-779) in ICD-9 CM and Chapter 16, Certain Conditions originating in the Perinatal Period (P00-P96) in ICD-10 CM.  Perinatal codes are NEVER used on the maternal record and codes for the obstetric chapters are NEVER used on the newborn record.  The codes, however, CAN be used be throughout the patient’s life regardless of age as long as the condition(s) is still present.  Codes from other chapters may be used to further describe a condition.  The Perinatal code must be sequenced first.  If signs and symptoms are the only available information provided to describe a condition; it is permissible to use the signs and symptoms code only.  



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