Wiki Maternal Death

[smarr33]

I need some help. I have a patient that was not known to our office. She was in a fatal car accident and brought to the ER and pronounced deceased. Her estimated gestational age was 30 weeks. No history on the patient. A stat c-section was performed in the Emergency department to try to save the infant. (Infant heartbeat could not be found) . Infant was not able to be resuscitated by Neonatology and was also pronounced dead. I would assume C-section only for the CPT (59514). We are billing for the physicians services only, not the facility. I am having trouble with the ICD10 code for the maternal death- Nothing I have found seems to be appropriate. Thanks for any advice

 

[cmk112@gmail.com]

Do you have access to what the ED provider states as the final diagnosis? If not, and you are coding without information, I would look at the following codes for the mother's chart: O9A22 ( Injury, poisoning and certain other consequences of external causes complicating childbirth), T40.90xa ( Injury, unspecified, initial encounter) as we don't know the specific injury of the mother aside from her passing away. V892XXA (V89.2XXA: Person injured in unspecified motor-vehicle accident, traffic, initial encounter) and maybe Z37.1 for the outcome of the delivery of the infant not making it. This was the best I could come up with based on the limited information provided. I hope this helps. Best of luck, and my heart goes out to the families of everyone involved.