natashalage
Guru
Hello OBGYN coders, I will greatly appreciate your help with coding this scenario. Thank you! I am not certain about diagnosis codes: do I need to use Z33.2 because D&E was done or Z33.2 is not applicable because pt wanted to continue with pregnancy; it's just PPROM occurred?
Pt is presenting for further management. On exam, ultrasound with anyhdramnios and SVE with prolapsing membranes. Risks, benefits, and alternatives of D&E discussed and consents signed. She is sure about her decision to proceed with pregnancy termination.
...Abdominal ultrasound was placed and continued throughout the procedure. Dilation was assessed and found to be adequate. Bierer forceps were used to transect the umbilical cord and evacuate fragmented fetal parts and placenta. Loop curette was used to confirm an empty uterine cavity and suction aspiration was repeated with a 14 rigid cannula.....= D&E procedure with US guidance.
1. Do I still use Z33.2- termination of pregnancy and put it as prim dx? Z33.2+ PPROM +No gestation Z3a- because it's abortion but it's not elective abortion, so maybe I should use Z3a- weeks?
2. CPT 59841- induced abortion by dilation and evacuation +76998 for US.
Thank you!
Pt is presenting for further management. On exam, ultrasound with anyhdramnios and SVE with prolapsing membranes. Risks, benefits, and alternatives of D&E discussed and consents signed. She is sure about her decision to proceed with pregnancy termination.
...Abdominal ultrasound was placed and continued throughout the procedure. Dilation was assessed and found to be adequate. Bierer forceps were used to transect the umbilical cord and evacuate fragmented fetal parts and placenta. Loop curette was used to confirm an empty uterine cavity and suction aspiration was repeated with a 14 rigid cannula.....= D&E procedure with US guidance.
1. Do I still use Z33.2- termination of pregnancy and put it as prim dx? Z33.2+ PPROM +No gestation Z3a- because it's abortion but it's not elective abortion, so maybe I should use Z3a- weeks?
2. CPT 59841- induced abortion by dilation and evacuation +76998 for US.
Thank you!