Wiki OB Coding-My question

jlv1980

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My question pertains to OB visits. Our EMR record shows a "problem list" which our MD fills out at the time of the initial OB visit. The problem list will show whether the patient is for example, hypertensive or advanced maternal age or if the pregnancy is from IVF, etc. When coding the 1st OB visit and even for the subsequent visits, if the patient warrants a code from the V23 and from 640-659, shouldn't the V23 codes be coded first? Also, for visits following the initial OB visit, shouldn't coding from the problem list (what we're managing) be coded along with any other dx found for that particular day; V23 codes first or are we to be coding only for that particular day's visit and what is documented for that day only? Thanks for the input!
 
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