2025 ICD-10-CM code O82
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Encounter for delivery Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Encounter for Cesarean delivery without indication.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifiers might be necessary to indicate the place of service, the type of anesthesia, or other relevant factors.Consult the appropriate coding guidelines and payer-specific requirements.
Medical necessity is absent in cases coded with O82.The procedure is elective and driven by patient preference.
The clinical responsibility involves the obstetrician performing the Cesarean section, and potentially other medical professionals involved in the pre-operative, operative, and post-operative care of the mother and newborn.
In simple words: This code is used when a Cesarean section (C-section) is done without a medical reason.Other codes will be used to show if the baby was born healthy and if there were any problems during the delivery.
This code is used to classify an encounter for a Cesarean delivery performed without a specific medical indication.It is crucial to note that additional codes should be used to specify the outcome of the delivery (e.g., Z37.0 for a single live birth) and any complications that may have occurred.
Example 1: A 38-year-old woman, G3P2, elects to have a Cesarean section for her third pregnancy, despite a lack of medical necessity. The procedure is completed without complications, resulting in a healthy live birth., A 25-year-old woman, G1P0, experiences a prolonged labor with no progress despite augmentation. A Cesarean section is performed due to maternal exhaustion, but no other medical indications for the C-section existed. The baby is born healthy., A 40-year-old woman, G4P3, with a history of previous Cesarean sections, chooses a repeat Cesarean delivery for her fourth pregnancy due to personal preference rather than medical need.The delivery is uncomplicated and results in a healthy neonate.
Detailed medical records are needed documenting the patient's preference for Cesarean section, the absence of medical indications necessitating a Cesarean birth, and a complete description of the surgery and its outcome. The documentation should include any discussion with the patient regarding alternative delivery methods and the informed consent signed by the patient.
** This code should only be used on the maternal record.Never use it on the newborn record.Always cross-reference with other codes to accurately reflect the entire clinical picture.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures performed and other factors.
- Global Days: The global period for Cesarean delivery will vary depending on payer and other factors.This is not defined by the ICD-10 code itself.
- Payment Status: Active
- Modifier TC rule: The TC modifier (Technical Component) is not applicable to this code.
- Fee Schedule: Historical fee schedules are not directly associated with ICD-10 codes. Reimbursement is determined by the procedures performed, payer-specific contracts, and other factors.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center