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Wiki Which Code Should be Billed for the Delivery?

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MaureenDL123

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Hello. I am wondering how to code this scenario? Patient admitted for PPROM and prolapse of cord from the vaginal, 21 weeks. In addition to the antepartum care, would I bill for the delivery only or delivery + postpartum care? Delivery was induced. Thank you so much.
 
MaureenDL123 said:
Hello. I am wondering how to code this scenario? Patient admitted for PPROM and prolapse of cord from the vaginal, 21 weeks. In addition to the antepartum care, would I bill for the delivery only or delivery + postpartum care? Delivery was induced. Thank you so much.
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I'm not clear on the question. If you provided all of the care and the pregnancy is over 21 weeks you can bill a delivery using which ever code represents the total care you have or intend to provide. Are you saying that the pregnancy an induced abortion at 21 weeks? I would need more details to give you the best answer.
 
MaureenDL123 said:
Sorry for the late response it was induced.
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ACOG recommends billing for the delivery if the pregnancy is an induced abortion greater than 20 weeks. You would still have to use the Dx code indicating it was an abortion, and the payer may have different ideas about how to code this. If you did bill for delivery plus postpartum all of the work from admission to discharge and follow-up would be included.
 
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