I would like some guidance on this scenario.
Pregnant woman comes in for ultrasound. On the order it has O26.841 (uterine size date discrepancy). Usually nothing is found abnormal and the final impression would describe the fetal pole. From my understanding you would use the O26.841 for your diagnosis.
Another scenario-On order it has O26.841 and the final impression is- 4mm intrauterine fluid collection possibly representing early gestational sac. correlation with patients laboratory findings recommended.
The coder used these codes-Z34.91 (Encounter for supervision of normal pregnancy) R18.8 (other ascites). Why would the coder use Z34.91 when the physician is concerned about uterine size date discrepancy? Shouldn't the O26.841 code be used?
I'm trying to clarify if the dx on the order should be used when the ultrasound does not have any findings.
Pregnant woman comes in for ultrasound. On the order it has O26.841 (uterine size date discrepancy). Usually nothing is found abnormal and the final impression would describe the fetal pole. From my understanding you would use the O26.841 for your diagnosis.
Another scenario-On order it has O26.841 and the final impression is- 4mm intrauterine fluid collection possibly representing early gestational sac. correlation with patients laboratory findings recommended.
The coder used these codes-Z34.91 (Encounter for supervision of normal pregnancy) R18.8 (other ascites). Why would the coder use Z34.91 when the physician is concerned about uterine size date discrepancy? Shouldn't the O26.841 code be used?
I'm trying to clarify if the dx on the order should be used when the ultrasound does not have any findings.