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Thread: Dx code for suspected twin gestation

  1. #1
    Join Date
    Apr 2007
    Bangor, Maine

    Default Dx code for suspected twin gestation

    AAPC: Back to School
    I have an u/s for a patient with a paternal history of twins on Dad's side. There was no twin gestation so should I just use a supervision code? Everything else was fine with the fetus but I didn't know if maybe I was missing something obvious. I don't code radiologies much lately.
    Any input would be great!

  2. #2
    Join Date
    Apr 2007
    Temple, TX


    Hello Leslie,

    Personally, I would just code the supervision of normal pregnancy.
    Twin pregnancy is not like an abnormality.
    Now, if there was an abnormality in the family's twins, I would probably add that diagnosis to support for medical necessity, or if there was a history of family congenital disorders.

    Let's see if anyone else has advice.

    The Oracle

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    You cannot code suspected diagnosis or conditions it is a supervison of normal preganany and antenatal screening for the ultrasound.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Bangor, Maine


    Thanks Ladies!!

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