vaginal

  1. D

    Wiki unusual delivery

    I need some advice to code this scenario correctly! Patient was taken back to OR for c/section. after they opened her, the babys head was engaged in the vaginal canal and could not be pulled back to deliver thru c/section. Ended up delivering vaginally. Placenta delivered immediately thru...
  2. K

    Wiki Vaginal Cyst excision with posterior repair

    MD describes this procedure as a vaginal cyst excision with posterior repair. This looks like more than just a 57135 and assuming the repair would be included in the procedure. How would you code this?? The hymenal ring was identified and grasped with two Allis clamps at the 7 and 5 o'clock...
  3. M

    Wiki Non-menopause related vaginal dryness ICD DIAG code?

    What is the most specific ICD 10 code for a non-menopausal women experiencing vaginal dryness? From the ICD 10 Index under atrophy/vagina (senile) I see N95.2 which takes you to the menopause/peri-menopausal section. Patient is in her early 30's. No documentation of low estrogen. Thanks for...
  4. L

    Wiki Help with coding an inpatient stay after a hysterectomy

    Here is a summary of what happened with this patient. She had a TVH and on post op day 10 she was admitted as inpatient for post op fever, nausea vomiting, lack of appetite. She was diagnosed with vaginal cuff cellulitis and my MD did a fine needle aspiration of a vaginal cuff seroma. The...
  5. C

    Wiki Vaginal delivery/ placenta/coding assistance

    I NEED ASSISTANCE CODING A VAGINAL DELIVERY, THE PATIENT PRESENTED IN THE ED WITH CONTRACTIONS, THE PROVIDER DOCUMENTED THE H&P LATER THE PATIENT HAD AN SPONTANEOUS VAGINAL DELIVERY WHICH THE PROVIDER ATTENDED AT THE END PER REPORT BELOW. WHAT CREDIT CAN I GIVE THE PROVIDER... SHOULD I BILL...
  6. M

    Wiki Need help with cpt for VAIN2

    Here is the op note. Provider is billing 57061. PROCEDURES: 1. Wide local excision of vaginal intraepithelial neoplasia 2 (VAIN 2), bilateral fornices. 2. Laser brushing of vaginal mucosa. FINDINGS AT THE TIME OF SURGERY: Atrophic vaginal mucosa. Bilateral fornices areas of acetyl white...
  7. C

    Wiki Fetal demise at 28 weeks vaginal delivery... Coding help

    can we bill the vaginal delivery code if the patient had a vaginal delivery for a fetal demise at 28 weeks induced by cytotec? and dx code as fetal demise with z37.0? Vaginal delivery: Spontaneous. Infant care: Spontaneous crying. Placenta: Spontaneous delivery, Intact, 3 vessel cord...
  8. C

    Wiki Vaginal Delivery at 21 weeks nonviable.. diagnosis code

    I need assistance choosing the correct diagnosis. I would appreciate if you guys can help. patient was admitted for having abdominal pain, her diagnosis was preterm labor, the next day patient had vaginal bleeding, membranes were noted in the vaginal vault. tocolysis was initiated a. due to...
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