Ob-Gyn Coding Alert
READER QUESTION ~ Choose Correct Abortion Dx Every Time
Question: One of our doctors saw a patient in the emergency department (ED). Her own gynecologist previously saw her and told her she -had a spontaneous abortion- with continued bleeding, so the gynecologist did a dilation and curettage (D&C). Now our doctor came to the ED, examined her, and documented: -s/p missed AB & D&C most likely uterine atony and retained clot. Patient given Methergine,- and so on. My ob-gyn selected 632 (Missed abortion), but I think it's 634.11. Which is correct? Answer: The patient does not have a missed abortion at this visit. The fetus is already gone, and now your ob-gyn is dealing with the retained products of conception. The correct diagnosis code for this encounter is 634.11 (Spontaneous abortion; complicated by delayed or excessive hemorrhage; incomplete), no matter what your physician thought was the original problem (missed versus spontaneous abortion).
Wyoming Subscriber
Heads up: A missed abortion is one in which the fetus is dead but the patient has not yet gone into labor, and your physician muse remove the fetus surgically or induce labor.
Ob-Gyn Coding Alert
- HYSTERECTOMY CODING, PART 1 ~ 3 Steps Let You Take Charge of Your Hysterectomy Codes
Learn why knowing the weight of the uterus is so important Don't just correct your [...] - CODING QUIZ ~ Exclude Visits From Global Ob Packages -- Find Out When
Here's what to do when ob-gyn simply confirms the confirmation Take this eight-situation decision challenge, [...] - Break Down Your Review of Systems Knowledge
Do you know what it takes for ROS to be -complete-? Review this basic information [...] - Ace E/M Coding by Studying These 2 FAQs
Details can make or break a complete history Excessive effort trying to provide the best [...] - YOU BE THE CODER ~ Catch This Debridement Difference
Question: My ob-gyn performed a right perineal abscess incision and drainage as well as debridement. [...] - READER QUESTION ~ HPV Is Noncovered for Medicare -- Here's Why
Question: We sent a specimen to the lab with V76.2 (Special screening for malignant neoplasms; [...] - READER QUESTION ~ Get to the Bottom of Cervical Dilation
Question: My ob-gyn performed an endometrial biopsy (58100) and also noted dilation of cervix (57800) [...] - READER QUESTION ~ Discover Diagnosis for HSG After Essure
Question: We have been using the sterilization diagnosis for patients who come back for an [...] - READER QUESTION ~ Choose Correct Abortion Dx Every Time
Question: One of our doctors saw a patient in the emergency department (ED). Her own [...] - READER QUESTION ~ Strike These Modifiers When Reporting 82270
Question: Because Medicare has dropped G0107 and we-re now supposed to use 82270, should we [...] - READER QUESTION ~ Submit Separate Service With Re-Pap
Question: What is the best way to code for an office visit to repeat a [...]
