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Thread: high risk elderly and high risk young pregnancy

  1. #1
    Join Date
    Apr 2007
    Harrisburg, PA

    Default high risk elderly and high risk young pregnancy

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Kansas City, MO


    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
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


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