1st listed code for pregnancy in MVA

BenG1969

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San Diego, CA
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MVA Pregnant

Hi,

In our office we follow this process when a pregnant woman is in a MVA.
Trauma/Injury during pregnancy
1. Code O9A.XXX primary
2. Then the injury S39.91XA
3. Then How – W18.XXXX e.g.
4. Then Where – if documented


Hope this helps. I have been coding Repro for appx 6 mos at a Teaching hospital for PB coding. So I am finding this specialty to be challenging but exciting at the same time.
 

mitchellde

True Blue
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Columbia, MO
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O codes have sequencing priority and must always be first listed. Unless the provider documents the pregnancy is unrelated to the current problem, you always choose an O code for the first listed code when the patient is pregnant.
 

Pam Brooks

True Blue
Local Chapter Officer
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South Berwick, ME
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I concur with Deb. Unless the physician specifically documents that there is absolutely no impact/relationship to the reason for encounter and the patient's pregnancy, you always code from the O section of ICD-10-CM.
 
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