I am having issues deciding on a principal diagnosis for an IM visit in the course of an OB visit.
I am currently billing for an IM physician who is seeing a patient for a consult for Hyperthyroidism and Grave's disease. The patient was IP for a 39 week delivery with fetal demise.
Since the patient was originally there for her delivery would the principal diagnosis be the reason the IM Dr. saw her or would it be the obstetric diagnoses?