kelhop1@msn.com
Contributor
I thought I asked this question before Christmas, but I'm not seeing it, so please forgive me if this is a duplicate.
Patient pregnant with di/di twins comes in on 17th with premature rupture of membranes for twin A at 19.5 weeks. On 18th twin a is fetal demise and is delivered vaginally. Heartbeat still heard for twin B. On 19th twin A placenta still in uterine cavity likely cause of infection due to white count increasing. Physician recommends termination with induction at this time. delivery of twin B to avoid sepsis. Plan is for misoprostol 400 mcg p.o. !4-6 hours until delivery. Twin B is delivered vaginally.
I'm not sure how to bill Twin A-would it be an EM 99232?
I believe Twin B would be 59855
Patient pregnant with di/di twins comes in on 17th with premature rupture of membranes for twin A at 19.5 weeks. On 18th twin a is fetal demise and is delivered vaginally. Heartbeat still heard for twin B. On 19th twin A placenta still in uterine cavity likely cause of infection due to white count increasing. Physician recommends termination with induction at this time. delivery of twin B to avoid sepsis. Plan is for misoprostol 400 mcg p.o. !4-6 hours until delivery. Twin B is delivered vaginally.
I'm not sure how to bill Twin A-would it be an EM 99232?
I believe Twin B would be 59855
