Wiki External Cephalic Version

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ELBrock

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Hello! I was hoping to get clarification that you can only bill for External Cephalic Version (CPT 59412) when the provider is manually rotating the baby from a Breech/ Footling presentation to a Cephalic presentation.
We had a situation where there was poor fetal decent due to the baby's Occiput Posterior presentation and the provider attempted manual rotation, but failed and ended up doing a vacuum-assisted delivery.
The provider documented a successful 45-degree rotation of the fetal head, but there was persistent OP presentation.
Also, what are the documentation requirements for billing External Cephalic Version?
Thank you!
 
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Big difference in amount of work to turn a baby end-for-end versus spinning on its' head. The version is a complete change in direction from caudal to cephalic and may use muscle relaxant medication and ultrasound to be successful.
Occiput posterior to anterior is just rotating the presenting part for easier delivery and is usually done through the vagina during pushing efforts.
The documentation would be very different plus a version is not normally attempted during active labor.
 
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