Results 1 to 6 of 6

help! OB delivery or abortion codes??

  1. #1
    Default help! OB delivery or abortion codes??
    Medical Coding Books
    The patient had IUFD(intrauterine fetal demise) Before 22 weeks. the pt delivers fetus & placenta vaginally with help of cytotex. would i code this a delivery code (59409-59410) OR would it be the abortion codes (59850-59855). i am getting different answers from each doctor. Any documentation/information to support the billing is greatly appreciated.
    thank you for your time

  2. Default
    I would also like to hear what people have to day on this one. I have done it both ways and have gotten it denied both ways.

  3. #3
    i posted this question in general discussion forum. there is an answer to the question there.

  4. #4
    ACOG had coding guidance on their site about this a couple years ago, but unfortunately, it's no longer there.. at least not in the "free" section.

    Based on what their guidelines stated, this is what I do:

    If infant is live born, a delivery code may be billed regardless of gestational age.

    If IUFD, gestational age must be greater than 20 weeks in order to bill a delivery.

    For IUFD delivery under 20 weeks, can't bill for delivery. Bill only E/M code (and prolonged services if documented.) Then you'll want bill out any prenatal care as appropriate.


  5. #5
    Erica is correct
    anything before 20 weeks is not a delivery
    you should bill the appropriate admit and d/c w/inpt visits and/or prolonged svcs as documented in the record.

    Also, ACOG stated that if the physician performs manual delivery of placenta he/she can bill for that as well as there is greater risk of hemorrhage associated with early delivery. The documentation must state that the placenta was delivered manually by the billing physician. The patient cannot simply pass it on her own.

    Your diagnosis is based on documentation as well. IUFD is only used for 22wks or more, otherwise it is a SAB complete/incomplete w/or w/out whatever complications are documented.

  6. #6
    thanks for the info,
    but i wanted to note that dx code 632 is waht i have used for IUD before 22 weeks gestation. any comments on that one, just want to make sure im doing it correct.
    thanks so much

Similar Threads

  1. Delivery vs Spontaneous Abortion
    By clentz in forum OB/GYN
    Replies: 1
    Last Post: 04-27-2012, 09:16 AM
  2. Addt'l codes needed dx.632 missed abortion
    By she803 in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-03-2011, 10:19 AM
  3. Delivery or treatment of Abortion
    By nelamaria in forum OB/GYN
    Replies: 4
    Last Post: 01-18-2011, 05:50 AM
  4. Abortion codes
    By kumeena in forum OB/GYN
    Replies: 0
    Last Post: 06-16-2009, 09:32 AM
  5. help! OB delivery or abortion codes?
    By bigredcag in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-11-2008, 02:51 PM

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.