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Still birth at 20.5 weeks, how to bill.

  1. Smile Still birth at 20.5 weeks, how to bill.
    Medical Coding Books
    Hi Friends,
    Please help me with this:

    Patient was admitted to hospital. She had Still Birth Intrapartum at 20.5 weeks. She had normally delivered. How to bill this case? What CPT & ICD should I use?

    Thanks & Regards,
    Neha Bhatnagar, CPC, CPC-H

  2. #2
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Need more information. What is vag del or csect? have they followed the antepartum visits? Look at fetal demise for dx code.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. Default
    Yes it was a vaginal delivery. There were no antepartum visits.
    What about Dx. V27.1 with cpt 59409?

    Neha Bhatnagar, CPC, CPC-H

  4. #4
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Will you follow the postpartum time? You did do routine care until the birth correct?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  5. Default
    No postpartum follow ups. Patient's next visit was follow-up of miscarriage and than annual gynecological exam. Yes doc did routine care till birth. But there were no antepartum visits.

  6. #6
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Iwould bill the admit, delivery only and d/c...Any one else want to comment?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  7. #7
    Default
    ACOG guidelines state that after 20.0 weeks, delivery codes should be used.

  8. #8
    Default
    Oops! clicked too soon. So. if your doc performed ONLY vaginal delivery of stillborn and postpartum follow up (no prenatal care) you will use 59410. If there was NO followup, 59409. You cannot bill separately for the hospital admission if delivery occured the day of or the day after admission. Hope this helps...
    Patricia CPC, COBGC

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