Wiki 2nd Trimester Pregnancy

[melanie.post@outlook.com]

Hi!
I have a note for a patient who was seen in the ER for severe abdominal pain. I am wondering what category I should look under since it isn't Z3A (weeks of gestation) or Z34 (supervision of pregnancy). Do I code it as pregnant state, incidental? The diagnoses listed are RUQ abdominal pain, pulmonary nodules, chest pain with respiration, 2nd trimester pregnancy, and probable pleurisy. Thanks so much!
Melanie Post, CPC-A

 

[mitchellde]

If the provider does not specifically document that the presenting condition does not affect the management of the pregnancy the you need to use an O code first listed, the problem second and the Z3A last.

 

[melanie.post@outlook.com]

Thank you!
Melanie