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  #1  
Old 10-22-2008, 01:50 PM
mwarmke mwarmke is offline
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Default CPT code for delivery

Is there a different CPT code for a delivery for fetal demise at 19 1/2 weeks. Or is the fee just prorated. I am doing an investigation. Thank you in advance for your expertise.
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Old 10-22-2008, 02:38 PM
kcsmagic kcsmagic is offline
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My Providers generally do a D&C with fetal demise and I will bill out 59820.
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Old 10-23-2008, 07:40 AM
Beany011178 Beany011178 is offline
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I am curious to what others will say to this. I have run across this situation where pt is say 20-25 weeks pregnant and has fetal demise and the doctors will actually induce their labor so that they deliver vaginally. We have billed a delivery but many times they do not pay for this.
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Old 10-24-2008, 08:04 AM
aguelfi aguelfi is offline
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I use 59820 or 59821 depending on the trimester.
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Old 10-31-2008, 10:20 AM
imjsanderson imjsanderson is offline
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I believe if the demise is <20 weeks it can be billed as dilation and evacuation with antepartum visits billed separately, >20weeks bill global delivery if you were the only provider for the antepartum and delivery. This is similiar to a premature delivery where the patient is seen for fewer than 13 usual antepartum visits but it is still appropriate to bill globally.
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Old 11-05-2008, 09:43 PM
bigredcag bigredcag is offline
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the VAGINAL delivery and vaginal suppositories (ie cytotex)were used you can use 59855(prior to 20 weeks). i know this is an abortion code and you usually have to appeal with documentation stating this was not elective and if the pt were to remain pregn. without intervention major complications can arise,
the dx would be 632 per ACOG
i have gotten all mine paid. the reason i dont choose form the 59820 section is the dr isnt perfoming a surgery
good luck
chris CPC
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Old 04-26-2010, 06:53 PM
hgonzales hgonzales is offline
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Default fetal demise at 16 wks

I'm new at this, our doctor did a misoprostol induction for a vaginal delivery. The baby was already fetal demise at 16 wks and not sure if I code 59855 and delivery charge? This was done at the hospital and the insurance is medicaid.

Thank you.
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Old 04-27-2010, 06:39 PM
hgonzales hgonzales is offline
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Default left oophorectomy via laparotomy

Please help with this CPT coding since I'm new to OB. Procedure is left oophorectomy via laparotomy/ repair of 6 x 3 ventral hernia superior to the umbilicus and also a repair of 4 cm umbilical hernia/ and abdominoplasty.
The dx is left dermoid cyst, Ventral hernia and Pannus. I hope I'm on the right spot because I haven't received an answer to my previous question regarding 16 week fetal demise. If not please tell me how. See others getting answers and not sure if i posted this correctly to get an answer.

thank you

Last edited by hgonzales; 04-28-2010 at 06:18 AM.
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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