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Postpartum hemorrhage after vaginal delivery

  1. #1
    Lewiston-Clarkston Chapter
    Default Postpartum hemorrhage after vaginal delivery
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    Patient had a vaginal delivery, 59409, and had uterine atony after the baby was delivered. Doctor performed fundal pressure and intrauterine exploration. The placenta had been delivered and then doctor gave patient Cytotec rectally twice as well as pitocin through her IV and hemabate intramuscularly.

    Is the treatment for the postpartum hemorrhage included in the vaginal delivery or should that be billed separately? Which leads me to the only CPT I can find for postpartum hemorrhage is 59160 but curettage was not done.


  2. Default Postpartum hemorrhage after delivery 3 day out
    I have a different situtation. I was wondering what Dx code anyone would use for Postpartum hemorhage 3 days after delivery. Would it still be appropriate to use the O code?
    Last edited by MC1260; 08-17-2018 at 11:55 AM.

  3. #3
    On the primary question, we would include the treatment of the uterine atony as part of the overall delivery as it appears it occurred at the time of delivery and was resolved with pressure. (ie: no return to the op or delivery room)

    On the question for the postpartum hemorrhage, we would recommend that you consider O72.2 as a possible code.
    Last edited by Chelle-Lynn; 08-22-2018 at 08:52 AM.
    Chelle Johnson, CPC CPMA CDEO CEMC CPCO CPPM AAPC Fellow
    Billing/Coding/Credentialing/Auditing Coordinator

    20+ years experience in Medical Billing and Auditing

  4. #4
    Lewiston-Clarkston Chapter
    Correct, it did occur at the time of delivery. Thank you so much for your help. I thought it would be included but I wanted to make sure. I appreciate your input.

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