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Thread: fetal demise

  1. #1

    Default fetal demise

    AAPC: CPC Promo
    Hi all. One of our MD's performed a vaginal delivery @ 17wks for a pt due to fetal demise. How should we code for this & for the prenatal visits? I believe there were 9 antepartum visits. Thanks, any help is appreciated.

  2. #2

    Default Fetal Demise

    One of the coder's that I work with submitted this question to The American College Of Obstetricians & Gynecologists. We received a two page response from them. I would be willing to fax you a copy of this, if you could provide me with your fax number.

    Alicia, CPC

  3. #3

    Default

    thanks Alicia - it's 650-812-3656

  4. #4

    Default Fetal Demise

    I tried faxing twice to the fax number provided and I got a busy response both times. Just wondering if something is wrong with your fax machine.

    Alicia, CPC

  5. #5

    Default

    i just tried it & it worked for me - maybe you just have great timing

  6. #6

    Default

    Would you fax that to me please.

    Jill
    217-223-9172

    Thank you!!

  7. #7
    Join Date
    Apr 2007
    Location
    ohio
    Posts
    47

    Default

    ACOG states that anything under 20 weeks is not billable as a delivery.
    You should bill the admission and discharge and any other associated e&m for the hospital stay.

    the pre-natal visits get billed based on number of visit
    1-3 use the appropriate out pt e&m code
    4-6 59425
    7+ 59426
    post partum 59430

    if the doctor spent extra time at bedside and has the documentation to support, you can bill prolonged services

    also, if he/she documents manual delivery of the placenta you can bill for that as well 59414

    does anyone have anything to add?

  8. #8
    Join Date
    Apr 2007
    Location
    Alexandria, VA
    Posts
    388

    Cool

    Quote Originally Posted by amsmith22 View Post
    ACOG states that anything under 20 weeks is not billable as a delivery.
    You should bill the admission and discharge and any other associated e&m for the hospital stay.

    the pre-natal visits get billed based on number of visit
    1-3 use the appropriate out pt e&m code
    4-6 59425
    7+ 59426
    post partum 59430

    if the doctor spent extra time at bedside and has the documentation to support, you can bill prolonged services

    also, if he/she documents manual delivery of the placenta you can bill for that as well 59414

    does anyone have anything to add?
    What dx code would you use for cpt 59414?
    Yolanda T. Haskins CPC, CRC, OHCC
    AAPCCA Board of Directors 2014 - 2017
    Region 1 - NorthEast - ME, NH, VT, MA, RI, CT, NY


    Yolanda.Haskins@aapcca.org

    Alexandria, VA Chapter


    ~ Practice Kindness ~

  9. #9
    Join Date
    Apr 2007
    Location
    Watertown, NY
    Posts
    108

    Default

    Quote Originally Posted by aschaeve View Post
    One of the coder's that I work with submitted this question to The American College Of Obstetricians & Gynecologists. We received a two page response from them. I would be willing to fax you a copy of this, if you could provide me with your fax number.

    Alicia, CPC
    Please please fax me the info i appreciate it.i want to make sure i am coding it correctly too.
    attn Chris G
    fx 931-245-7069



    we have been using code 59855/59856 if a vaginal suppoositories is used. Since no surgical intervention was done. Yes, we get denied but upon appeal with a copy fo the desk definition of the code and supporting hospital documentation we have gotten them paid since it is a theraputic AB NOT elective etc.. we bill the ante seperatly.

  10. #10

    Default Can I also have a copy of that?

    Fax # is 1-740-376-7527

    Quote Originally Posted by kobeast View Post
    i just tried it & it worked for me - maybe you just have great timing

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