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1st listed code for pregnancy in MVA

  1. #1
    Location
    ATLANTA, GA
    Posts
    15
    Default 1st listed code for pregnancy in MVA
    Medical Coding Books
    I'm confused on what code to use first for a pregnant woman in MVA and a pregnant woman with just having abdominal pain

  2. Lightbulb MVA Pregnant
    Hi,

    In our office we follow this process when a pregnant woman is in a MVA.
    Trauma/Injury during pregnancy
    1. Code O9A.XXX primary
    2. Then the injury S39.91XA
    3. Then How – W18.XXXX e.g.
    4. Then Where – if documented


    Hope this helps. I have been coding Repro for appx 6 mos at a Teaching hospital for PB coding. So I am finding this specialty to be challenging but exciting at the same time.

  3. #3
    Location
    Columbia, MO
    Posts
    12,844
    Default
    O codes have sequencing priority and must always be first listed. Unless the provider documents the pregnancy is unrelated to the current problem, you always choose an O code for the first listed code when the patient is pregnant.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Location
    Dover Seacoast New Hampshire
    Posts
    2,016
    Default
    I concur with Deb. Unless the physician specifically documents that there is absolutely no impact/relationship to the reason for encounter and the patient's pregnancy, you always code from the O section of ICD-10-CM.
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

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