PSI-17: Birth Trauma
Is anyone reviewing PSI-17? I recently began reviewing as our rate is high. at our facility, CDI does not typically review OB/newborns so this is new for me. So far, all of the cases have been for coded cases of 'facial bruising'. It appears that this is being coded when it is part of the assessment after delivery. It seems inappropriate that this should be resulting in a PSI.
I looked for guidance regarding the coding of birth injuries and the only relevant coding clinic I found is very old. CC1994Q1p8
Insignificant conditions or signs or symptoms that resolve without treatment are not coded.
Example: At the time of initial examination an infant is noted to have acrocyanosis, molding of the scalp and facial bruising from the birth process. Later, a nurse notes a fine rash and states that the infant initially had some problem sucking. All of these conditions are resolved or are resolving by discharge. There has been no workup or treatment given for any of these conditions. Unless the physician lists them as definitive diagnoses, do not assign codes for these conditions. See also the Second Quarter Coding Clinic 1989, page 14.
However, I don't see anything in I-10...
Does anyone have any additional information about when/under what circumstances a birth injury should be coded. I am especially interested in any resources I can bring back to our coders.