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Ob-Gyn Coding Alert

READER QUESTIONS:

For D&C at 8 Weeks, Check 58120

Published on Tue Sep 26, 2006

Question: If a patient came back eight weeks after she delivered for dilation and curettage for retained products of conception, should we use 59160? Or can we only use this code right after delivery (during the same episode of care)?


South Carolina Subscriber
Answer: At eight weeks, you should report 58120 (Dilation and curettage, diagnostic and/or therapeutic [nonobstetrical]) because the cervix is closed, and the patient will need dilation.
 
Code 59160 (Curettage, postpartum) is more relevant after delivery and during the same episode of care while the cervix is still dilated.
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