New ICD-10 Guide Now Available for OB/GYNs
While all HIPAA-covered entities need to make the change to ICD-10, the changes to coding and documentation are not the same for every specialty. Each specialty has it's own unique new codes and documentation requirements for those codes.
For example,for OB/GYNs, the requirement to provide anatomical site or location plays out differently than it might for a pediatrician. If a patient presents with endometriosis, physicians must document precisely where the endometriosis has occurred (i.e., the uterus, ovary, fallopian tube, pelvic peritoneum, rectovaginal septum and vagina, intestine, in cutaneous scar, other endometriosis). Without this specificity the encounter must be coded as unspecified.
Some other changes that specifically impact OB/GYNs include:
- Documenting the specific trimester
- Providing more specificity for annual exams
- Documenting the causes of pelvic pan
- Increased detail is required when documenting migraines
- Reason for fetus viability scans is required