Real-Life Coding Scenario:
Failed IUD Insertion? Draw the Line Between Discontinued, Reduced Services
Published on Sat Apr 03, 2010
Check out the new diagnosis codes you'll start using this October.When an ob-gyn attempts to place an intrauterine contraceptive device (IUD) and is unsuccessful, you're often the one left with a quandary. What modifier should you include? The answer may depend on whose advice your payer follows. Our experts break down this real-life IUD scenario.First, Read This Procedure NoteAlthough IUD insertion and replacement situations may seem simple coding-wise, an attempted and unsuccessful insertion is not so easy. Read the following procedure note.Procedure: Ms. S comes in today for IUD placement. After informed consent and using sterile technique, she was prepped and draped in the usual fashion. Sound was placed into the endometrial cavity without difficulty. Following this, I attempted to place an IUD. The IUD was very difficult to place. In fact, it became contaminated during placement.A second attempt was made under ultrasound. We opened a second IUD and using [...]
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