Results 1 to 4 of 4

retraction after pushing

  1. Unhappy retraction after pushing
    Medical Coding Books
    I am having difficulty finding a code. Patient began pushing and brought baby down but would retract with each push. So they used the vacuum which failed as well. My question is do I need to code the retraction(since that's why they used the vacuum)? If so, I am not finding a code to use, and I could use any advice. And/or do I use the failed vacuum? PLEASE HELP!!

  2. #2
    Default retraction
    If you are talking CPT codes, I believe the vaginal delivery code 59400 (or 59409 for delivery only) includes any assitive measures needed to complete the delivery vaginally.

  3. Default
    Sorry I'm referring to ICD-9s. In all that frustration I forgot to mention that.

  4. Default retraction after pushing
    If they don't give any indication in the op report about why the retraction was occurring you could use 660.61 - failed trial of labor and then 660.71 - failed vacuum extractor (Did she ultimately have a c/section?) If she had a prolonged second stage or fetal decels that caused them to try to use the vacuum I would use one of those instead of the 660.61. Hope that helps. It's hard to be more specific without the op note.
    Ruth Perkins, CPC, COBGC

Similar Threads

  1. Retraction of payment from 2011
    By kaylawardle in forum Billing/Reimbursement
    Replies: 2
    Last Post: 06-22-2015, 04:04 PM
  2. Anthem payment retraction
    By Rindahlnicole in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-04-2014, 02:34 PM
  3. Code 43247 Pushing a food bolus to the stomach
    By codingman in forum Gastroenterology
    Replies: 2
    Last Post: 01-08-2010, 06:36 AM
  4. Iris retraction with Grieshaber Hooks
    By dbykov in forum Outpatient Facilities
    Replies: 0
    Last Post: 10-30-2008, 09:33 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.