Ob-Gyn Coding Alert
Breastfeeding Counseling
Question: A patient who had problems breastfeeding her newborn came to see our ob-gyn. What diagnosis code should I use? Kentucky Subscriber Answer: You will report Z39.1 (Encounter for care and examination of lactating mother). You do not need any other additional counseling code. You can also assign code O92.- (Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium), if the patient has a problem w ith the breast or lactation. Watch out: You should not report P92.1 (Regurgitation and rumination of newborn), P92.2 (Slow feeding of newborn), P92.8 (Other feeding problems of newborn), or P92.9 (Feeding problem of newborn, unspecified) for assistance given to and billed under the mother’s medical record.
Ob-Gyn Coding Alert
- NCCI 27.0:
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Breastfeeding Counseling
Question: A patient who had problems breastfeeding her newborn came to see our ob-gyn. What [...] - Reader Questions:
Native Tissue Does Not Mean Prosthetic Graft/Mesh
Question: Our urogynecologist performed an Altis sling for urinary stress incontinence and a posterior colporrhaphy [...] - Reader Questions:
Tame This Cystectomy, Lysis of Adhesion Note
Question: My ob-gyn documented the following note, and I’m not sure what to do: “Name [...] - Reader Questions:
Calculate This Open Ovarian Drilling Scenario
Question: Our patient was scheduled for a laparoscopic right oophorectomy along with left ovarian drilling. However, [...] - Reader Questions:
How to Bill for the Bakri Balloon
Question: A patient had a primary c-section for breech and fibroids. The c-section was completed [...]
