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https://www.aapc.com/discuss/threads/cervical-and-vaginal-sidewall-laceration-after-delivery.92276/
May 14, 2013 · She had postpartum bleeding and it was determined that the patient had a cervical laceration and a paravaginal sidewall laceration. The patient ended up back in the OR to repair the cervical laceration and the paravaginal sidewall laceration. The code for the delivery would be 59409 (we're not billing globally).
http://www.hcpro.com/content.cfm?content_id=305393
Jun 11, 2014 · Guidance for coding OB delivery lacerations sometimes differs between the CPT® Manual and the American Congress of Obstetricians and Gynecologists. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, explains the difference in guidance and documentation necessary to report tears to the proper degree.
https://www.icd10data.com/ICD10CM/Codes/O00-O9A/O60-O77/O71-/O71.4
Oct 01, 2019 · A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O71.4.A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
http://remote.health.vic.gov.au/viccdb/view.asp?Query_Number=2624
VICC confirms that the excludes note at O71.4 Obstetric high vaginal laceration alone 'Excludes: with perineal laceration (O70.-)' means that you only assign O70.x Perineal laceration during delivery for documentation of Vaginal wall laceration with perineal laceration.
https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129
Oct 11, 2019 · Previous Next 1 of 6 Vaginal area. Vaginal tears during childbirth, also called perineal lacerations or tears, occur when the baby's head is coming through the vaginal opening and is either too large for the vagina to stretch around or the head is a normal size but the vagina doesn't stretch easily.
https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129?s=2
Oct 11, 2019 · Vaginal tears during childbirth are common. See illustrations of various degrees of vaginal tears and treatment tips.
http://www.obgyntools.com/./dictations/dictation-vavd.html
3. Vaginal sidewall laceration Procedures: 1. Vacuum-assisted vaginal delivery 2. Repair of a right vaginal side wall laceration. Estimated Blood Loss: 300cc Complications: None Findings: 1. Live male infant with Apgars of 9 and 9. 2. Placenta delivered with assistance, intact, with a three-vessel cord. 3. Right vaginal side wall laceration ...
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