Endometritis
2010 ICD-9 codes: New Puerperal options
This time, ICD-9 2010 brought new hyperplasia, mammogram, and fertility preservation codes. In some cases, these codes simply expanded on existing options and it’s up to you to spot when you should report the new alternatives as compared to the old.
So if you run into a situation where your ob-gyn documents “a puerperal infection”, a bacterial illness following childbirth, which of the following would you report?
A. 670.0 — Major puerperal infection
B. 670.1x [0,2,4] — Puerperal endometritis
C. 670.2x [0,2,4] — Puerperal sepsis
D. 670.3x [0,2,4] — Puerperal septic thrombophlebitis
E. 670.8x [0,2,4] — Other major puerperal infection
This is quite a tricky question. Here your ob-gyn must document the infection type more specifically. As such, your best bet here would be B-D.
For these codes, you’ll need to include a fifth digit. A fifth digit of “0” stands for “unspecified as to episode of care or not applicable while a fifth digit of “2” means delivered with mention of postpartum complication. On the other hand, a fifth digit of “4” represents “postpartum condition or complication (which you would report only after the ob-gyn discharges the patient after delivery).
Before this change, you would have had to lump all puerperal infections into one code (670.0). Even now you can report this for unspecified puerperal infections, but watch out: If the patient requires hospitalization, your payer will most likely deny your claim at your first submission.
For more of such 2010 ICD-9 codes affecting your ob-gyn practice, you can turn to one-stop medical coding websites, which come packed with everything that you need to know!
About the Author
We provide you simple, instant connection to official code descriptors & guidelines and other tools for ICD-9 coding, CCI edits that help coders and billers to excel in the work they do every day.
Do you think i have Endometritis?
Im worried i have endometritis. i know its genetic and my mum suffered from it. although she had two kids she has had a hysterectomy. I am 17 years old and still have irregular periods, like 2-8 a year. When i am on my periods i get pains in either hip. Recenetly it has been my left hip although i have had it on my right hip. When i walk i feel my hip clicking. i am worried i have endometritis but my mum says im fine and that if i dont have painful period pains then i probably dont have it, although i have read that many woman have different symptoms. I do not want to go to the doctors i just want opinions if i could have it or if im being parronoid.
No one here can help, even doctors. If you don’t have dysmennorrhoea. Clicking hips would not normally be a sign of gynaecological problems – that’s more in the realm of orthopaedics. If you seriously thinkk you have a problem, then your doctor is the person to ask.
Histopathology Uterus–Syncytial endometritis
