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OB patient

  1. Default OB patient
    Medical Coding Books
    Hi, we have a patient who had a cystourethroscopy done while pregnant. The primary DX was coded for pregnancy primary. The bill is being denied as she doesnt have coverage for pregnancy. She wasnt there because she was pregnant she was there for her DX of Calculus of the ureter and kidney. For OP surgery do you have to have pregnancy as primary DX? Thanks,

  2. #2
    Location
    Evansville Indiana
    Posts
    451
    Default pregnancy
    I believe you should code the reason for the procedure as primary and incidental pregnancy secondary.

    LeeAnn

  3. #3
    Default
    I agree with Leeann
    Barbara Liimatta-CPC

  4. Default OB patient
    Thank you for your replies. The ICD9 guidelines state that if the current condition complicates pregnancy to code fist the pregnancy code. Do you think this procedure affects the management of the pregnancy, childbirth or puerperium? Thanks

  5. #5
    Location
    Ellenville, New York
    Posts
    1,176
    Default
    Quote Originally Posted by janelle2004 View Post
    Thank you for your replies. The ICD9 guidelines state that if the current condition complicates pregnancy to code fist the pregnancy code. Do you think this procedure affects the management of the pregnancy, childbirth or puerperium? Thanks
    Possibly - but that has to be documented by the physician if he or she feels the stone was a complication.

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