Ob-Gyn Coding Alert

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Question: Is it OK to report 59414 for a spontaneous abortion with a retained placenta?

Tennessee Subscriber

Answer: The answer depends on whether the ob-gyn surgically removed the retained placenta, in which case you should classify this as a spontaneous incomplete abortion. The correct code for this procedure is 59812 (Treatment of incomplete abortion, any trimester, completed surgically).
 
If the ob-gyn manually removed the placenta following the spontaneous abortion and you could not report a delivery because the fetus was 20 weeks or less gestation, some payers will accept 59414 (Delivery of placenta [separate procedure]).

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