Performance Measurement Network

Question: Footling breech code 652.81 as an exclusion for PC-02

If a case has the ICD-9-CM principal diagnosis code of 652.81 and the ICD-9-CM principal procedure code of 74.1, why would the case fail the measure? Aren't footling breech presentations excluded from the measure?

Answer:

Code 652.81 "Other specified malposition or malpresentation" specifies compound presentation. Footling breech is included along with a number of other presentations that do not necessitate a cesarean section, i.e., hand or foot next to head which normally has a vaginal birth. Footling breeches are quite uncommon in term singletons; therefore, it was decided to not include this code in the list of exclusions since this would have risked adding a larger group to the exclusions inappropriately versus a smaller group of cases that should be included.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: PC-02a, perinatal care
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