Wiki Second trimester fetal demise

[malfordmd]

Patient present to ER with bleeding in pregnancy Ultrasound showed a fetal demise. She was admitted to L&D and after a bedside confirmation ultrasound by my doctor in addition to two official ultrasound. patient had elective induction and delivered the following day vaginally. She went home 12 hours later. How do I code for the delivery?

 

[Kholloway]

Delivery only 59409 and then O60.13x0 and Z37.0 for stillborn. This has worked for me in the past. Good luck.

 

[tracylc10]

How many weeks was the patient? If before 20 weeks, you would not code a delivery. After 20 you can use the delivery code. Also there are ICD-10 codes for fetal demise. Before 20 weeks O02.1 and after 20 weeks O36.4xxx (needs 7th character).

 

[tblmt1966]

Delivery only 59409 and then O60.13x0 and Z37.0 for stillborn. This has worked for me in the past. Good luck.

After 20 weeks 0 days you would report 59400-59515 pending delivery. The dx is O36.4XX with appropriate 7th character Z37.1 Still Born and Z3A. weeks gestation.