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Wiki Z34 codes

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jlv1980

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If we need to charge out OB visits for a patient to submit into her insurance company because she's moving and we charge out the number of visits and the patient has had a normal 1st pregnancy, we'd use Z34 code (Chapter 21) My questions is; do we need to use a secondary code from the Z3A category(also chapter 21) showing weeks gestataion or are the Z3A codes only needed as an additional code when using codes from Chapter 15?
 
Additional question related to this

If we're billing 59425 or 59426, it typically spans trimesters. Do we use a Z34 code for each trimester during which the services were rendered, or just the trimester they were in on the date of the last visit?
 
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