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I’m a physician coder for an ob/gyn practice. One of my docs was the PRIMARY OB for a patient he delivered and he reported "2nd degree laceration with capsular involvement/partial 3rd degree. I have read conflicting reports on what code to use. I also understand that 3rd and 4th degree lacerations get reported for Patient Safety Indicators. Please someone help!! How is this coded??
I am reading mixed messages on whether or not coding repairs of lacerations is allowed.
I have read some examples that say 1st and 2nd degree laceration repairs should not be coded; only 3rd and 4th.
I have also read that 1st and 2nd degree can be coded.
Aside from what the payers want specifically, what is the ‘coding standard’ for applying additional codes for 1st or 2nd degree lacerations when they occur during delivery?
Thanks so much!
A. Cooper