I code for physician charges but I've been asked a question about inpatient DRG coding. Since this is not my specialty, I thought I would post the question on the AAPC forum and see if someone here can help.
Basically the question is regarding coding the maternal hospital stay when there are complications causing extended hospital stay prior to delivery. I was told they use either DRG 765 or 774 (vaginal or c-section delivery with complications) and they feel that the "delivery with complications" DRG's don't take into account (and reimburse for) all the extended care that is provided prior to delivery on the more complex cases.
Are there other DRG codes or modifiers they should be using? Any feedback would be appreciated!
Basically the question is regarding coding the maternal hospital stay when there are complications causing extended hospital stay prior to delivery. I was told they use either DRG 765 or 774 (vaginal or c-section delivery with complications) and they feel that the "delivery with complications" DRG's don't take into account (and reimburse for) all the extended care that is provided prior to delivery on the more complex cases.
Are there other DRG codes or modifiers they should be using? Any feedback would be appreciated!
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