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Old 10-23-2008, 09:53 AM
jhack jhack is offline
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Default featl demise 17-19 weeks and vaginal delivery

I have a situation where a pt went to the e.r with excessive bleeding and no prenatal care. The pt went through a vaginal delivery. Would this still be billed as 59409?
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Old 10-24-2008, 08:02 AM
aguelfi aguelfi is offline
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CPT say for medical treatmet of spontaneous complete abortion (miscarriage), any trimester, use E/M codes 99201-99233. Was the fetus born alive or did it die inutero?
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Old 05-26-2009, 08:18 AM
howardi howardi is offline
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Question Inevitable Abortion

I have a similar situation,

This patient was PPROM and vaginal bleeding @ 19 wks, pt was given misoprostol and delivered baby with apgar 1*1*1*9, doctor checked vaginal delivery,
Should it just be admission and sub with DX 635.70 LEGAL AB W COMP NEC-NOS, 658.23 PROLONG RUPT MEMB-AP ?
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Old 05-26-2009, 08:30 AM
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mitchellde mitchellde is offline
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As far as the dx code, look to the coding guidelines... If the baby is delivered live at birth regardless of how long the baby lives then it is a delivery 650 if it is normal with a V code for the outcome of liveborn. I am not certain of using an E&M code if the physician documents a preterm delivery.
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Old 05-27-2009, 03:11 PM
tjanz1418 tjanz1418 is offline
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Here is a link to ACOG explaining what they think you should bill before and after 20 weeks. I had a similiar situation to yours and I billed an E&M with the placenta delivery code.

http://www.acog.org/from_home/depart...-abortions.pdf
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