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2025 ICD-10-CM code O62.2

Other uterine inertia, encompassing conditions like atony of the uterus (without hemorrhage), desultory labor, hypotonic uterine dysfunction, irregular labor, poor contractions, slow active-phase labor, and unspecified uterine inertia.

Code assignment should align with the specific clinical findings, excluding cases of uterine atony with postpartum hemorrhage which would be coded separately.Consider additional codes for associated conditions such as fetal distress or prolonged labor.

Medical necessity for O62.2 coding is established by documentation supporting the diagnosis of inadequate or ineffective uterine contractions during labor, leading to a prolonged labor, failure to progress, or fetal distress. The documentation should support the clinical decision-making process, including interventions to address the condition and the eventual method of delivery.

Obstetrician-gynecologist (OB-GYN) or other qualified healthcare professional managing the labor and delivery process.

IMPORTANT:Consider O62.0 (Primary inadequate contractions), O62.1 (Secondary uterine inertia), O62.3 (Precipitate labor), O62.4 (Hypertonic, incoordinate, and prolonged uterine contractions), O62.8 (Other abnormalities of forces of labor), or O62.9 (Abnormality of forces of labor, unspecified), depending on the specific clinical presentation.If postpartum hemorrhage is present, additional coding is required.

In simple words: This code describes problems with the contractions of the uterus during labor.The uterus isn't contracting strongly enough or regularly enough to push the baby out. This can be due to several reasons and doesn't include cases where there's also bleeding after delivery.

O62.2, Other uterine inertia, in the ICD-10-CM classification, represents a category of obstetrical complications characterized by inadequate or ineffective uterine contractions during labor. This can manifest as atony of the uterus (without accompanying hemorrhage), desultory labor (irregular contractions), hypotonic uterine dysfunction (weak contractions), irregular labor patterns, poor or insufficient contractions, a slow progression of the active phase of labor, or unspecified uterine inertia.It excludes cases of uterine atony with postpartum hemorrhage (coded elsewhere).

Example 1: A 35-year-old G2P1 woman at 39 weeks gestation presents with prolonged labor. Despite augmentation with oxytocin, her contractions remain weak and infrequent, resulting in slow cervical dilation and fetal distress. Diagnosis: O62.2 (Other uterine inertia)., A 28-year-old G1P0 woman at 41 weeks gestation experiences irregular uterine contractions that are ineffective in causing cervical change.The patient undergoes a cesarean delivery due to prolonged labor with failure to progress. Diagnosis: O62.2 (Other uterine inertia)., A 22-year-old G1P0 woman in active labor demonstrates hypotonic uterine dysfunction, with contractions that are infrequent and insufficient to promote cervical dilation. Pitocin augmentation is unsuccessful, leading to a cesarean section for fetal distress. Diagnosis: O62.2 (Other uterine inertia).

Detailed description of labor progression, including frequency, duration, and intensity of contractions; cervical dilation and effacement; fetal monitoring tracings (electronic fetal monitoring strip); maternal vital signs; interventions (e.g., oxytocin augmentation, amniotomy); and the indication for any surgical intervention (e.g., cesarean delivery).

** This code is used exclusively for maternal records and should never be applied to newborn records.Accurate documentation of the labor and delivery process is crucial for appropriate code assignment.Additional codes may be necessary to capture related conditions or complications.

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