• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Fetal Demise- membrane rupture was

nelamaria

Contributor
Messages
19
Best answers
0
Hi!

Pt has Fetal Demise at 15weeks. was a vaginal delivery, membrane rupture was Spontaneous. will this be consider a Vaginal Delivery or an induced Abortion?
Meds Prior to delivery : Miso/Tegratool/clnazepam


thank you in advance for your input and previous one.


Have a great day:)
 

preserene

Guest
Messages
991
Best answers
0
It is not vaginal Delivery for sure.
It is an induced abortion 59855.
Hope this helps
 

nelamaria

Contributor
Messages
19
Best answers
0
Fetal Desmise

The provider code it as a vaginal delivery, and pt 17weeks. At how many weeks will be consider a delivery versus an induced abortion.

Thank you.
 

preserene

Guest
Messages
991
Best answers
0
Upto the general viability of the fetus which is accepted internationally as 22 weeks24weeks


As per our codeing manuals, it is counted as abortion before 22 completed weeks of gestation.

The general description is as follows in brief:
Viability refers to a point in fetal development at which the fetus may survive outside the womb(extrauterine life). The lower limit of viability is approximately five months gestational age, and usually later.

There is no sharp limit of development, age, or weight at which a fetus automatically becomes viable. According to data years 2003-2005, 20 to 35 percent of babies born at 23 weeks of gestation survive, while 50 to 70 percent of babies born at 24 to 25 weeks, and more than 90 percent born at 26 to 27 weeks, survive. It is rare for a baby weighing less than 500 gm to survive.

The National Institute of Child Health and Human Development , uses the term ‘periviable’ to ‘refer to foetus at 20 to 26 weeks of gestational age.

So ,with the facts ,literature, figures and the internationally accepted norm, our coding manuals description is perfectly correct.
I do not know why your doctor would push the date back to 17weeks, I have no idea. ( as to my knowledge, the neurological development(grey and white matter developmental concepts,) and some other vital organ functions are not letting the fetus to do so at this week of gestation.

If he or she has reports/ or referrence of even one case viability in that period of extrauetrine life in her experience or in the US, well, (s)he can document and argue for shifting the abortion limit to vaginal delivery at 17+ weeks of gestation, with the payers!!
I hope I am a bit more clear in this concept
 
Last edited:
Top