Starting January of this year, we started receiving denials from Amerigroup, stating that the delivery was not medically indicated when the child was born before 39 weeks. We need a diagnosis to indicate why the baby was delivered before 39 weeks. amerigroup will not tell you what diagnosis to use. There are a few diagnosis that I think could work but just wanted to see if anyone else has had this issue. O75.89 other specified complications of labor and delivery. 075.9 complication of labor and delivery, unspecified. 060.14 Preterm labor third trimester with preterm delivery third trimester (not sure these would be considered pre-term as the weeks of gestation were 37 or 38 weeks) 062.9 Abnormality of forces of labor, unspecified. 042.90 Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor. Any help would be greatly appreciated.

Rose Zeron, CPC