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Thread: DIagnosis code for heavy vaginal bleeding

  1. #1

    Default DIagnosis code for heavy vaginal bleeding

    AAPC: Back to School
    Please advise -

    I have a pt that came to the ER with heavy vaginal bleeding. She took a abortion pill one month prior and now is having heavy bleeding. They did a pregnancy test in the ER and it was negative. The doctor's final dx is vaginal bleeding and anemia. I was questioning what would the dx code be to show she had a previous pregnancy and is this considered an abortion? Thanks for any help!

  2. #2
    Join Date
    Apr 2007
    Bentonville, Arkansas

    Default heavy bleeding

    Was it documented that she had a positive pregnancy test before she took the "abortion pill," or was she taking it because she had unprotected sex and wanted to avoid pregnancy. That makes a difference in how you code the heavy bleeding. With no documentation of positive pregnancy you would use 626.8 for dysfunctional bleeding. If she was bleeding as a result of taking the pill and having an abortion you would use 639.1 for delayed excessive hemorrhage following an abortion.

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