I may be overthinking this....
Our patient delivered in the ambulance on the way to the hospital, the physician & resident were present for the spontaneous delivery of the placenta. Would I be able to bill 59414 only? The only reason I am questioning this is because Coding companion description states "physician places abdominal pressure just above the symphysis to elevate the uterus into the abdomen & prevent inversion of the uterus." They did not do this. Also what dx would I use? (There was no mention of delayed hemorrhage or retained.)
Please help!
Our patient delivered in the ambulance on the way to the hospital, the physician & resident were present for the spontaneous delivery of the placenta. Would I be able to bill 59414 only? The only reason I am questioning this is because Coding companion description states "physician places abdominal pressure just above the symphysis to elevate the uterus into the abdomen & prevent inversion of the uterus." They did not do this. Also what dx would I use? (There was no mention of delayed hemorrhage or retained.)
Please help!