Health Information Management

Ask the expert: What is the DRG for preterm labor?

HIM-HIPAA Insider, June 18, 2007

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Q: Preterm labor seems to be going to DRG 379 (theraputic abortion) and not preterm labor (such as 383, perhaps), even at 35 weeks and later. Is this correct?

A: Yes, the correct DRG would be 379. With code 644.00, the narrative reads, "Threatened premature labor, unspecified as to episode of care." For code 644.03, the narrative reads, "Threatened premature labor, antepartum." It will automatically fall into DRG 379, which reads, "Threatened abortion." The key word here is threatened. Other antepartum diagnoses with medical complications would fall into DRG 383.

Editor's note: Sandy Sillman, RHIT, PAHM, DRG coordinator for Henry Ford Health System in Detroit, MI, answered this question in the June 2007 issue of Briefings on Coding Compliance Strategies. For more information, click here.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular