Wiki Fetal demise

[sknapp56]

Fetal demise at 19 weeks 2 days induced with Cytotec and delivered with delivery of placenta. ACOG information state delivery before 20 weeks should be coded with E &M and the 59414 delivery of placenta. Another suggestion was the 59855 induced AB but the descriptions states physician terminates a pregnancy which to me is different that fetal demise. Hospital bill a 59409 vaginal delivery only code. Would like input from other coders as to how they would bill. Thank you for your help in advance.

 

[LanaW]

According to ACOG fetal demise prior to 20 weeks 0 days is coded with E/M code + 59414 (delivery of placenta) if done. Or if a non-surgical abortion is induced by injection you would use 59850, 59851 or 59852. This is info straight out of the Procedural Coding in Obstetrics and Gynecology 2012 manual, Table 5-2.

 

[Bready]

fetal demise

Cytotec is a vaginal suppository used to speed delivery. The code you would use prior to 22 wks is 59855. It is for missed abortion or fetal demise in utero. ICD9: 632