Wiki hx of shoulder dystocia / Venipuncture

[mashtoncason@gmail.com]

I need help on two things..


1. Dx is history of shoulder dystocia... I found 660.4x but I feel like that is wrong because it doesn't state "history." What would be a more appropriate code?


2. Our office is going to start drawing blood then we sent it off to the lab to be tested. Can I code 36415 (Venipucture)? Does it change if we do not test it too?

 

[ajs]

I need help on two things..


1. Dx is history of shoulder dystocia... I found 660.4x but I feel like that is wrong because it doesn't state "history." What would be a more appropriate code?


2. Our office is going to start drawing blood then we sent it off to the lab to be tested. Can I code 36415 (Venipucture)? Does it change if we do not test it too?

On number 1. - there are no history of codes for those type of problems in a previous delivery. This can only be coded if it is a current problem. What are you attaching the code to..a procedure, a visit, the delivery?

Number 2 - you may code a 36415 for a blood draw, not all payers will reimburse for a blood draw. The code for venipuncture is simply for drawing the blood so it does not matter if you are running the test or sending it out.