Wiki IUFD needing emergent c-section

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mmckibbin

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We had a patient transferred to us with hemorrhage due to complete placental abruption and an IUFD. Due to the hemorrhage we didn't have time to induce labor and let her delivery vaginally, we had to do an emergent c-section. However if patients "deliver" an IUFD before 20 weeks we can bill the delivery of placenta but due to it being a c-section and us needing an assistant, I don't know how to bill it. She was new to us so it will just be 59515 but should I put a -52 modifier since it was before 20 weeks? Any advice is greatly appreciated I am at a total loss on what to do.
 
mmckibbin said:
We had a patient transferred to us with hemorrhage due to complete placental abruption and an IUFD. Due to the hemorrhage we didn't have time to induce labor and let her delivery vaginally, we had to do an emergent c-section. However if patients "deliver" an IUFD before 20 weeks we can bill the delivery of placenta but due to it being a c-section and us needing an assistant, I don't know how to bill it. She was new to us so it will just be 59515 but should I put a -52 modifier since it was before 20 weeks? Any advice is greatly appreciated I am at a total loss on what to do.
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What about 59100? Description below:

In this procedure, the provider performs a type of cesarean section, or C section, to remove a fetus or hydatidiform mole from the uterus prior to twenty weeks and zero days gestation, but the abdominal and uterine incision are smaller than a standard C section. The provider performs this procedure with an abdominal approach.


Clinical Responsibility
The provider places the patient in the supine position and administers a general anesthetic. The provider makes a vertical or horizontal incision in the lower abdominal wall, and he enters the uterus through the lower uterine segment by making an additional incision in that location. He removes the embryo or mole, along with any remaining membranes and placenta from the uterine cavity. After ensuring that all bleeding is under control, the provider sutures the uterine and abdominal incisions.
 
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