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Thread: L&D help

  1. #1

    Default L&D help

    AAPC: Back to School
    OK, assitance needed for the following surgery scenerio:

    35 year old patient 36 weeks gestation, she is in spontatious labor had a previous C-section and had a lower-segmnet transverse cesarean section and at the same time she had a tubal at the same time. Single liveborn was outcome of surgery.

    here are my options:

    A. 59510, 58600-51, V25.2
    b. 58620, 58615-51, 644.21, V27.0
    c. 59514, 58605-51, V27.0, 644.21
    d. 59514, 58311, 654.11 644.21, V27.0, V25.2

    I am choosing option D.....Can someone please offer assistance??? Thanks!!!

  2. #2
    Join Date
    Apr 2007
    Engelwood, CO


    Billing for complete OB care:
    59510 linked to 654.21 & V27.0
    58611 linked to V25.2 (modifier should not be needed)

    If you're billing for delivery only, use a 59514 instead of the 59510
    If you're billing delivery + pp care only, use a 59515 insted of the 59510

    Becky, CPC

  3. #3
    Join Date
    Apr 2007
    Madison Wisconsin


    I agree with the CPT code selection, but I feel the ICD-9 codes would be:654.21, 644.21, V27.0 since pt delivered before 37 weeks which adds additional risk which should be reported.

    Gina, CPC

  4. #4
    Join Date
    Apr 2007
    Engelwood, CO


    Thanks for catching my faux pas, Gina. I overlooked that very important item..... :-)


  5. #5

    Thumbs up

    Thank you ladies, what I have come across is I have a lady who has purchased the study guide from AAPC but none of answers go with the choices the book! I agree with you all, but this is very confusing to a "new" coder practicing for the exam, I think this could be an error in the practice book, but this is a question she held out for me becasue she had a question, so picked out and error!!! Good job to the newbie!! Again, thank you ladies!!

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