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Thread: Vaginal delivery w/evacuation

  1. #1
    Join Date
    Apr 2007
    Fort Wayne In

    Default Vaginal delivery w/evacuation

    AAPC: Back to School
    Vaginal delivery includes episiotomy and use of forceps, but if you use evacuation is there a different code?


  2. #2

    Smile Question regarding 5th digit combinations for multiple dxs - same inpatient stay

    Carol Buck's SBS 2009 Chapter 15 contains the following entry:

    "When coding multiple diagnoses from one inpatient stay, certain combinations of fifth digits are used to classify that stay or visit. These fifth digit combinations are:

    1 only, or with 2: NOT with 0,3, or 4
    2 only, or with 1; NOT with 0,3, or 4
    , etc...

    What does this mean? She does not use examples and I don't have the knowledge to understand this yet. Can you help with examples, etc?

    Thank you

  3. #3
    Join Date
    Apr 2007
    Fort Wayne In


    Look at the example she gave for code 641.1, the only fifth digit you may use for this code is 0,1 or 3; you can not use 2 and 4 as fifth digits for 641.1. Now look at 642.0 here you can use 0,1,2,3, or 4 as your fifth digit. You have to watch the options in the brackets.
    Hope this helps


  4. #4

    Default Fifth digit combinations, cont.

    Thank you. I do understand that example. However for multiple diagnoses for the same hospital stay, I'm still not clear. I really don't see any examples for this type of 5th digit classification or, am I missing something?
    Can you clarify this? Thanks.

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