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Wiki Spontaneous miscarriage, retained placenta removal

AT2728

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Perryville, MO
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Would appreciate feedback on the following procedure:

13 week gestation OB patient presented to ER with products of conception in hand. Patient had continued bleeding, taken to L&D for evaluation by OBGYN. Products of conception included fetus at 10-11 week in size, no placental tissue noted. Examination showed plancenta half in/half out cervix, forceps were used to remove remaining portions of placenta with light scraping of uterine endometrial layer to ensure no further tissue remained.

Would I code this as 59414-I know this is typically used following live birth delivery. However, since, D&C was not performed I don't feel I can bill with 59812--unless I would bill this with a 52 reducted service modifier. Suggestions-Anyone run into this before?

Thank you
 
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