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Wiki Fetal demise

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sknapp56

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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.
 
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.
 
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
 
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