Cesarean assisted vaginal delivery coding

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6
Location
Wichita, KS
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I have been coding deliveries for over 5 years and have never had to code this one. The op note states:

Severe shoulder dystocia followed by "abdominal rescue", cesarean hysterotomy to reduce fetal shoulders below the pubic bone with vaginal delivery of the neonate.

Also 5 hours after the delivery and exploratory laparotomy was done to stop bleeding in the broad ligament of the uterus. I assume I can put a modifier 59 on the laparotomy.

Any help is appreciated.

Thanks, Misty
 

kathyvl74

Networker
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45
Location
Elgin IL
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I would bill the vaginal delivery, the unlisted ob code for the abdominal part, and use modifier 78 on the laparotomy
 
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