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Course

Obstetrics Principal Diagnosis Practice Scenarios


Description

This course equips participants with the essential skills to confidently select the principal diagnosis for obstetrical and pregnancy cases. Through a series of engaging practice scenarios, learners will explore the distinctions between 'labor and delivery complicated by' and 'pregnancy complicated by' situations, guided by a thorough understanding of ICD-10 Official Guidelines, AHA Coding Handbook Chapter 24, and valuable insights from Coding Clinic advice. By the course's conclusion, participants will navigate the complexities of pregnancy and obstetrics coding with expertise, ensuring precise and compliant medical coding practices in this specialized field.

**Please note the prerequisite to taking this course is to complete the Obstetrics Principal Diagnosis Selection and Coding Course

Included Lessons:

  • What is the Difference Between “Labor And Delivery Complicated By-“ and “Pregnancy Complicated By?”
  • Selection of Obstetrics Principal Diagnosis Official Guidelines for Coding and Reporting
  • AHA Coding Handbook Chapter 24: Complications of Pregnancy, Childbirth, and the Puerperium
  • Coding Clinic Advice
  • Pregnancy/Obstetric Principal Diagnosis Coding Scenarios
  • Explanations for Pregnancy/Obstetric Principal Diagnosis Coding Scenarios
  • Summary
CEUs available for the following credentials:

AHIMA

CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS

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Key Takeaways

  • Differentiating between Obstetrical and Pregnancy Diagnoses: Coders will have a clear understanding of when to use "labor and delivery complicated by" and "pregnancy complicated by" diagnoses, ensuring accurate coding for various obstetric and pregnancy-related conditions.
  • Compliance with ICD-10 Official Guidelines: Coders will be well-versed in the specific guidelines outlined in Chapter 15 of the ICD-10 Official Guidelines, which are critical for proper coding and reporting of obstetrical and pregnancy cases.
  • AHA Coding Handbook Mastery: Participants will gain proficiency in utilizing the AHA Coding Handbook Chapter 24, particularly in identifying and classifying complications related to pregnancy, childbirth, and the puerperium.
  • Coding Clinic Insights: Coders will be informed about the latest guidance and recommendations from Coding Clinic, ensuring that their coding practices are up-to-date and compliant with industry standards.
  • Principal Diagnosis Selection: Coders will develop the ability to select the principal diagnosis accurately based on the patient's medical history, reason for admission, and any complications that may arise during labor and delivery.
  • Trimester and Pregnancy-Related Codes: Participants will understand the importance of assigning codes that indicate the trimester of pregnancy, providing a more detailed and precise representation of the patient's condition.
  • Handling Special Cases: Coders will be equipped to handle special cases, such as high-risk pregnancies, induction of labor, and complications during delivery, ensuring appropriate coding in these situations.
  • Application of PCS Codes: Coders will learn how to apply ICD-10-PCS codes effectively for procedures related to obstetrical and pregnancy cases, such as cesarean sections and repairs.

Benefits of Taking this Course

  • Enhanced Proficiency
  • Improved Accuracy
  • Higher Compliance
  • Up-to-Date OB Knowledge
  • Ability to Navigate Complex Pregnancy Coding
  • Career Advancement

FAQs

What is the significance of selecting the principal diagnosis in obstetrical coding?
The principal diagnosis is the primary reason for the patient's admission or encounter, and it plays a crucial role in determining the medical necessity of services rendered. Accurate selection of the principal diagnosis is essential for appropriate reimbursement and ensuring that the patient's medical condition is accurately represented in healthcare records.
How do I differentiate between "labor and delivery complicated by" and "pregnancy complicated by" diagnoses?

To differentiate, refer to the ICD-10 Official Guidelines, specifically Chapter 15, and consider the patient's condition at the time of admission or encounter. If the condition is present before labor and delivery, it is often categorized as "pregnancy complicated by." Conversely, conditions that arise during labor and delivery are typically classified as "labor and delivery complicated by."

When should I use trimester-specific coding, and how do I determine the trimester?
Trimester-specific coding is used when the patient's condition or procedure is trimester-dependent. Determine the trimester based on the provider's documentation, which may specify the number of weeks completed. Follow the trimester definitions provided in Chapter 15 of the ICD-10 Official Guidelines to assign the appropriate code.

About our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPTE/M, ICD-10-CMICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatientoutpatientprofee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CMICD-10-PCSCPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams. 

Disclaimer: This course is not available for individual sale. Purchase the OB Coding Training Plan below and get access to 6 total CEUs. 

Overview
CEUs Icon
AHIMA CEUs : 1