Wiki Postpartum Depression

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Jdrietz

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Good afternoon!! There are two postpartum depression ICD10's , O90.6 & F53.0. Need some help, trying to distinguish the difference between these two codes? Thank you!!
 
O90.6 is postpartum mood disturbance, not postpartum depression.

The World Health Organization classifies postpartum depression as one of three things: Postpartum blues, postpartum non-psychotic depression, and postpartum psychotic depression.

Postpartum blues onset within day 3 or 4, can last hours to days, and requires no treatment other than reassurance. This is O90.6.
Postpartum depression can occur any time within 12 months of childbirth, lasts weeks to months, and requires treatment.
Postpartum depression with psychosis usually occurs within 2 weeks of childbirth, can last weeks to months, and usually requires hospitalization.

There are clinical criteria for postpartum depression (same as for major depression).
 
tintin said:
How about the CPT code? 96127 or 96161 for postpartum depression?
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I believe you are referring to billing a service for a patient who is being evaluated for postpartum depression? Neither of these codes would be billable because, per ACOG, screening for postpartum depression is integral to PP care. In the case of 96127 (Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument), the use of any screening tool during the visit would be considered included unless specifically allowed by the payer. For instance, some Medicaid programs pay for additional services, but their policy booklet will tell you this and which code to use. Code 96161 (Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument) represents a caregiver who is filling out the form on behalf of the patient.
 
nielynco said:
I believe you are referring to billing a service for a patient who is being evaluated for postpartum depression? Neither of these codes would be billable because, per ACOG, screening for postpartum depression is integral to PP care. In the case of 96127 (Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument), the use of any screening tool during the visit would be considered included unless specifically allowed by the payer. For instance, some Medicaid programs pay for additional services, but their policy booklet will tell you this and which code to use. Code 96161 (Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument) represents a caregiver who is filling out the form on behalf of the patient.
hey!

can you charge for extra pp depression visits if they have pp depression and coming in for extra visits because of it and it's being managed with medication and they change their meds in some of the visits
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