• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 18 week fetal demise delivered vaginally

Create Wiki
M

Miller913

Contributor
Messages
22
Best answers
0
I have a question on how to code a vaginal delivery @ 18 wks.

Pt presents w/bleeding, 4cm w/SROM when she arrived.

Baby A delivered vaginally, placenta delivered 10 minutes later, Baby B delivered vaginally, placenta was delivered spontaneously w/administration of 400 mg Cytotec PO. Both fetus non-viable.

I know you can not code a delivery because she was not 20 wks. I am thinking that all I can bill out is an E/M code.

(She was seen for 4 prenatal visits in the office)

:confused:
Thanks in advance!
Mary
 
if the patient is seen 4+ times you can bill for the 59425, antepartum care 4-6 visits. In the case that the patient had three or less office visits at that time you would bill out individual office visits. Hope this helps!
 
Hi Mary
I've got the same situation today .... a 17 week delivery non-viable. I have an ACOG chart that indicates to use E/M code prior to 20 weeks 0 days. Likely the Subsequent Hospital Care E/M.

I would bill the antepartum on a separate claim.

Kristen
 
You must log in or register to reply here.
Top