retroplacental hemorrhage/vaginal bleeding

espforu

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Please help!

The op report (c-section) indicates: Vaginal Bleeding but the procedure description indicated "some evidence of retroplacental hemorrhage at the time of placental removal"

Can you help with coding of the retroplacental hemorrhage? The codes I was looking at was for premature separation of placenta(O45.--) but I am not sure if this is correct. Any advise will be of help :)

Thanks!
 

espforu

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Thank you. I did see that but was not sure as it is not post partum. This was the reason for the C-section.

I am thinking the option of coding vaginal bleeding as the retroplacental hemorrhage was found when the placenta was removed via the C-section. I do not find any other appropriate code.
 

tracylc10

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Does the op note state that the hemorrhage is the post op dx? If so, you should list that and not the vaginal bleeding. If that was the cause of the vaginal bleeding then the hemorrhage would be more specific. If it only says "some evidence", then I would talk with the md to clarify.
 
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retroplacental hemorrhage at the -"time of placental removal"-

O72.1 Other immediate postpartum hemorrhage
Hemorrhage -"following delivery of placenta"-
Postpartum hemorrhage (atonic) NOS
Uterine atony with hemorrhage

O72.1 should be the code for this
 
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