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ICD-10 Guide
ICD-10 CodesChapter 15: Pregnancy, childbirth and the puerperiumO80

O80

Billable

Encounter for full-term uncomplicated delivery

Chapter 15:Pregnancy, childbirth and the puerperium

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 O80 is a billable code used to indicate a diagnosis of encounter for full-term uncomplicated delivery.

Key Diagnostic Point:

The ICD-10 code O80 is designated for encounters related to full-term uncomplicated deliveries. This category encompasses deliveries that occur at or beyond 37 weeks of gestation without any complications for the mother or the newborn. It is crucial for healthcare providers to accurately document the delivery process to ensure proper coding and billing. This code is typically used in situations where the delivery is planned and proceeds without any medical issues, allowing for a straightforward coding process that reflects the uncomplicated nature of the event.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Simplicity of the delivery process
  • Lack of complications
  • Standardized documentation requirements

Audit Risk Factors

  • Inadequate documentation of delivery details
  • Misclassification of delivery type
  • Failure to capture any potential complications

Specialty Focus

Medical Specialties

Obstetrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Midwifery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the O80 code category is significant in terms of quality measures and population health. Accurate coding for uncomplicated deliveries helps healthcare organizations track outcomes and improve care delivery for mothers and newborns. Furthermore, it aids in resource allocation and planning for obstetric services, contributing to better healthcare trends and policies aimed at improving maternal and neonatal health.

ICD-9 vs ICD-10

The clinical and administrative impact of the O80 code category is significant in terms of quality measures and population health. Accurate coding for uncomplicated deliveries helps healthcare organizations track outcomes and improve care delivery for mothers and newborns. Furthermore, it aids in resource allocation and planning for obstetric services, contributing to better healthcare trends and policies aimed at improving maternal and neonatal health.

Reimbursement & Billing Impact

reimbursement rates. Claims should clearly outline the nature of the delivery and confirm that it was uncomplicated to avoid denials. Additionally, it is important to be aware of payer-specific guidelines that may affect billing practices for these encounters.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for O80

Coding & Billing References

  • •
    Official ICD-10 Guidelines for O80

Frequently Asked Questions

What conditions are included in O80?

O80 includes encounters for full-term deliveries that are uncomplicated, meaning there are no significant medical issues for either the mother or the newborn during the delivery process.

When should I use O80 codes?

O80 codes should be used when documenting a full-term delivery that is uncomplicated. This includes vaginal births without any medical interventions or complications.

What documentation is required for O80?

Documentation for O80 should include the gestational age at delivery, confirmation of the uncomplicated nature of the delivery, and any relevant maternal and neonatal health information.