Wiki Viability Ultrasound and AMA

[bryana.ament@outlook.com]

If a patient comes in for a viability ultrasound and they are also AMA or other high risk, is z36.87 (Encounter for screening for uncertain dates) or O09.521 (elderly multip, 1st trimester) coded first?

 

[Cmama12]

Depends on what is stated but uncertain dates does not equal inconclusive viability. I would use O36.80x0, followed by the AMA code.

 

[bryana.ament@outlook.com]

Depends on what is stated but uncertain dates does not equal inconclusive viability. I would use O36.80x0, followed by the AMA code.

yeah I mean we do a dating and viability ultrasound on every patient who didn't come from fertility, and use the z36.87. I've never used the O36.80x0 code, unless they do the viability ultrasound and they have to have a f/u in 10 days because its probably going to be a miscarriage. We are doing the ultrasound for screening purposes, but the patient is advanced maternal age.

 

[nielynco]

If a patient comes in for a viability ultrasound and they are also AMA or other high risk, is z36.87 (Encounter for screening for uncertain dates) or O09.521 (elderly multip, 1st trimester) coded first?

If it an initial screening I would use z36.87 rather than the AMA Dx as this is the primary reason for the scan on all patients. If the scan is only done on high risk patients, then you would choose the Dx that matches that diagnosis. I would not use O36.80 unless they are trying to rule out miscarriage.

 

[bryana.ament@outlook.com]

If it an initial screening I would use z36.87 rather than the AMA Dx as this is the primary reason for the scan on all patients. If the scan is only done on high risk patients, then you would choose the Dx that matches that diagnosis. I would not use O36.80 unless they are trying to rule out miscarriage.

thank you-- i submitted the question to ACOG and they said the same. Since the reason for the visit is for dating and viability that dx code should be listed first then AMA.