Wiki fetal demise prior to 20 weeks

[nld1010]

Reading this forum...I get conflicting ways of how to correctly bill a fetal demise with vaginal delivery (cytotec used) prior to 20 weeks.
Some say to use 59855/59866 and may need send letter of appeal
Others says bill hospital visits only if surgical mgmt was not done (59820/59821) since a vaginal delivery can be billed only after 20 weeks
Please advise of correct way to bill this

Thank you,
Nicole Dallas, RMC

 

[mprice45]

I agree. There is a lot of conflicting information on how to code a fetal demise with vaginal delivery (cytotec used or not used) prior to 20 weeks. Anyone have an answer?

 

[nielynco]

ACOG weighed in on this many years ago. I have attached the document they published on this topic which is what you should follow when billing for terminations prior to 20 weeks gestation.