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high risk elderly and high risk young pregnancy

  1. #1
    Location
    Harrisburg, PA
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    14
    Default high risk elderly and high risk young pregnancy
    Exam Training Packages
    I am billing for many high risk elderly (35 and over) and young (<16) pregnancies. I am wondering when it is appropriate to use v23.8- series compared to when to use the 659.6- and 659.8- series. I code patients in Maternal Fetal Medicine as well as regular OB/GYN.

  2. #2
    Location
    Kansas City, MO
    Posts
    751
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    ICD-9 Coding Guidelines - Chapter Specific Guidelines - Ch 11 - Complications of Pregnancy, Childbirth, and the Puerperium (630-677)

    Chapter 11: Complications of Pregnancy, Childbirth, and the Puerperium (630-679)

    b. Selection of OB Principal or First-listed Diagnosis

    2. Prenatal outpatient visits for high-risk patients
    For routine prenatal outpatient visits for patients with high-risk pregnancies, a code from category V23, Supervision of high-risk pregnancy, should be used as the first-listed diagnosis. Secondary chapter 11 codes may be used in conjunction with these codes if appropriate.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

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