Results 1 to 2 of 2

Postpartum Complications

  1. #1
    Unhappy Postpartum Complications
    Medical Coding Books
    We had a patient come in that was 3 weeks postpartum with Pyle nephritis. The doctor clearly says that the patient is postpartum, but he does not say that the patients Pyle nephritis is related to or because of her pregnancy.

    I was always under the impression that during the pregnancy it is the providers responsibility to state that the condition being treated is not affecting the pregnancy and the provider should document that a condition is pregnancy related postpartum. I realized today that is not completely true…misread and misinterpreted what I did read.

    It is true that ‘it is the providers responsibility to state that the condition being treated is not affecting the pregnancy', but ‘A POSTPARTUM COMPLICATION IS ANY COMPLICATION OCCURRING WITHIN THE SIX-WEEK PERIOD'. ‘Pregnancy – related complications after the six – week period should the provider document that a condition is pregnancy related'.

    So here I am thoroughly confused.…the coding guidelines are what is really confusing me though. So if the patient twists her ankle and has ankle pain, does that mean it is a complication because it is during the 6 week postpartum time period.

    As always thank you for your time and expertise.

  2. #2
    the doctor would have to state that it is not a complication. There fore I would code it as a pregnancy complication up until 6 weeks. After that time if the doctor doesn't state they are related I would just code it as a normal code- not in the 600's

Similar Threads

  1. Billing For Complications
    By chavera in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-09-2014, 07:48 AM
  2. Postpartum vaginal delivery complications
    By in forum OB/GYN
    Replies: 0
    Last Post: 02-12-2013, 06:54 AM
  3. OB complications
    By laura vangroningen in forum OB/GYN
    Replies: 2
    Last Post: 10-11-2011, 01:12 PM
  4. Replies: 0
    Last Post: 08-01-2010, 01:05 PM
  5. NC Medicaid and PostPartum complications
    By LanaW in forum OB/GYN
    Replies: 3
    Last Post: 03-22-2010, 11:04 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.