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Delivery with a nuchal arm but not breech

I have an OP Note for a vaginal delivery for a patient that had no complications with the pregnancy. In the description of the procedure it states, "…pushed over the course of approximately 2 contractions and brought the fetal vertex to a large crown. There was some difficulty delivering the shoulder and there was noted to be a nuchal arm. The arm was then finally delivered and then the rest of the infant delivered without difficulty."

Since this is not a breech presentation and the arm was not prolapsed, I do not see a code to use to specify this. Would I just overlook this statement since there is not a specific code to address it? There was a first degree laceration, so I will code O70.0 but was wondering if I need another code to specify the nuchal arm.

Thank you,

Rose

Medical Billing and Coding Forum

confusion on how to code nuchal cord around neck in OB charts.

Hi Guys. While coding OB charts, I came across nuchal cord around neck 1. While leading through 3M there is two option to choose which is "with compression" and "with out compression". Some of my co-workers suggest that if it is around neck we have to code it as "with compression" some suggests until unless provider dose not document with compression we are not suppose to code with compression. I am very confused please any one help me with this. And how to interpret nuchal cord was tight.
Thank you.

Medical Billing and Coding Forum