I am aware that there is not a diagnosis for active labor.
But is there a diagnosis that can be used in regards to active labor.
My diagnosis options for patients H&P are only that she is at 36 weeks gestation in active labor with a breech presentation.
So would just billing breech presentation and 36 weeks gestation be sufficient for the H&P? I feel like I should paint the picture that she is in labor and that is why she is now going to have a cesarean.
Kam