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Bleeding in early pregnancy

  1. #1
    Default Bleeding in early pregnancy
    Medical Coding Books
    I am hoping someone can help on this one. Patient comes in 8 weeks pregnant and has an ultrasound. Indication on report: bleeding.

    I am starting to second guess using PTL. There is also the ICD-9 for spotting complicating pregnancy, 649.5X. Does anyone know when this applies?

    Any help on this would be helpful...

    Thanks in advance,
    Rhonda Green, CPC

  2. #2
    Seacoast- Dover New Hampshire
    I believe that spotting is alot different than bleeding. I would tend to use the 640.xx series, as this is hemorrhage in early pregnancy.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    I also would use the 640. codes
    S. Stevens, CPC

  4. Default
    we use 640.93 before completion of 22 weeks

  5. Default
    I would go with 640.93 before 22 weeks and 641.93 after 22 weeks of gestation
    Prabha CPC

  6. #6
    Default Bleeding in early pregnancy..

    We would use dx code 640.93 for before 22 weeks gestation and Dx 641.93 for after 22 weeks gestation..

    Hope this helps you..

    Jayaprathap, CPC

    Opportunity is missed by most people because it is dressed in overalls and looks like work

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