Results 1 to 5 of 5

18 week fetal demise delivered vaginally

  1. #1
    Question 18 week fetal demise delivered vaginally
    Medical Coding Books
    I have a question on how to code a vaginal delivery @ 18 wks.

    Pt presents w/bleeding, 4cm w/SROM when she arrived.

    Baby A delivered vaginally, placenta delivered 10 minutes later, Baby B delivered vaginally, placenta was delivered spontaneously w/administration of 400 mg Cytotec PO. Both fetus non-viable.

    I know you can not code a delivery because she was not 20 wks. I am thinking that all I can bill out is an E/M code.

    (She was seen for 4 prenatal visits in the office)


    Thanks in advance!
    Mary

  2. Default
    if the patient is seen 4+ times you can bill for the 59425, antepartum care 4-6 visits. In the case that the patient had three or less office visits at that time you would bill out individual office visits. Hope this helps!

  3. #3
    Default
    Would I bill anything for the hospital visit for the delivery?

  4. #4
    Location
    Columbus, OH
    Posts
    24
    Default
    Hi Mary
    I've got the same situation today .... a 17 week delivery non-viable. I have an ACOG chart that indicates to use E/M code prior to 20 weeks 0 days. Likely the Subsequent Hospital Care E/M.

    I would bill the antepartum on a separate claim.

    Kristen

  5. #5
    Smile
    Thank you! That's what I was thinking.

Similar Threads

  1. 20 week fetal demise
    By krcosby in forum OB/GYN
    Replies: 1
    Last Post: 07-30-2015, 01:38 PM
  2. Fetal Demise-Our physician did
    By kathy a in forum OB/GYN
    Replies: 2
    Last Post: 07-16-2013, 12:42 PM
  3. 28 week fetal demise billing
    By Valerie Nicklaus in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-16-2013, 09:37 AM
  4. fetal demise
    By jptingh in forum OB/GYN
    Replies: 3
    Last Post: 01-04-2010, 09:57 AM
  5. 24 week fetal demise
    By becca12 in forum OB/GYN
    Replies: 1
    Last Post: 05-15-2008, 12:54 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.