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9. PREOPERATIVE DIAGNOSIS: Term pregnancy in active labor. POSTOPERATIVE DIAGNOSIS: Same, with midline episiotomy repaired. O

Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes.

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Pregnancy ranges from first day of last menstrual period to 40 weeks. Active labor refers to the phase that starts with active contractions and dilation of cervix 6 cm.

ICD 10 CM code for term pregnancy in active labor is O80 encounter for full term uncomplicated delivery. To code the following standards to be met like delivery requiring minimal or no assistance with or with out episiotomy or instrumentation.

To indicate outcome of delivery in this scenario full term vaginal term male baby is Z37.0. This code can be used if the maternal age of mother ranges from 12-55 years. It is indicate to refer outcome of the delivery.

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