Just to be clear, the doc's don't usually say that pregnancy is incidental, but they do say that pregnancy is not affected not affecting treatment. Use both V codes.Did the Physician state in the record that the Pregnancy was Incidental.
Make sure its clearly noted in the Record to use V22.2 correctly.
Unfortunately both codes must be first listed so you cannot use both together. I agree with the V71.4 and the V22.2I was taught to use 648.9* in the first position and V71.4 in the second position. This is for
ER coding and denotes other current conditions classifiable elsewhere in pregnancy.
Mary McCormick CPC
You bring up a good point, I had forgotten those codes had been added to the book. I agree it makes sense but the selection I feel will be very dependent on documentation. I would be comfortable coding either the V71.89 with the V22.2 or the V89.09 depending on how the physician worded his note.Hi all, why would you leave V89.09 (orV89 .0x) which is is most important than all the other specificity you assigned for this encounter. What we suspect in MVA of a pregnant patient regarding the preg. status (apart from other injuries)? - the suspected conditions for mother and her reproductive organs with pregnancy , fetalcondition and viabilty ,placental, amniotic fluid ,membrane etc. After all we can suspect any of these changes to occur due to MVA.
There are even times, especially if MVA occurs after22-24 weeks of pregnancy, any MVA irrspective of the immediate ruling out of danger/ irrrespective of no other injury or condition found, patients are (just for observation of the pregnancy status alone),admitted in observation Care/ or admiited as inpatient to follow up for more than 24hrs to confirm suspected conditions/danger not found.( for eg, Abruptio Placenta is the most important suspected condition, along with fetal viability in these cases of MVA).
Am I sensible?