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MVA and PREGNANCY

  1. Default
    Medical Coding Books
    Hi all, why would you leave V89.09 (orV89 .0x) which is is most important than all the other specificity you assigned for this encounter. What we suspect in MVA of a pregnant patient regarding the preg. status (apart from other injuries)? - the suspected conditions for mother and her reproductive organs with pregnancy , fetalcondition and viabilty ,placental, amniotic fluid ,membrane etc. After all we can suspect any of these changes to occur due to MVA.
    There are even times, especially if MVA occurs after22-24 weeks of pregnancy, any MVA irrspective of the immediate ruling out of danger/ irrrespective of no other injury or condition found, patients are (just for observation of the pregnancy status alone),admitted in observation Care/ or admiited as inpatient to follow up for more than 24hrs to confirm suspected conditions/danger not found.( for eg, Abruptio Placenta is the most important suspected condition, along with fetal viability in these cases of MVA).
    Am I sensible?

  2. Default
    And also, I am afraid to say that I do not agree with you for 648.9 (though you are taught so)
    The conditions "ELSEWHERE" implies to 440-459, 795.01---796.76. All these conditions are not applicable to the case in our hand.
    Moreover, where is the 5th digit mandated in this code.

    I want the medical validation for this please.

    I agree with Mitchellde.
    Thank you.

  3. #13
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    Default
    Quote Originally Posted by preserene View Post
    Hi all, why would you leave V89.09 (orV89 .0x) which is is most important than all the other specificity you assigned for this encounter. What we suspect in MVA of a pregnant patient regarding the preg. status (apart from other injuries)? - the suspected conditions for mother and her reproductive organs with pregnancy , fetalcondition and viabilty ,placental, amniotic fluid ,membrane etc. After all we can suspect any of these changes to occur due to MVA.
    There are even times, especially if MVA occurs after22-24 weeks of pregnancy, any MVA irrspective of the immediate ruling out of danger/ irrrespective of no other injury or condition found, patients are (just for observation of the pregnancy status alone),admitted in observation Care/ or admiited as inpatient to follow up for more than 24hrs to confirm suspected conditions/danger not found.( for eg, Abruptio Placenta is the most important suspected condition, along with fetal viability in these cases of MVA).
    Am I sensible?
    You bring up a good point, I had forgotten those codes had been added to the book. I agree it makes sense but the selection I feel will be very dependent on documentation. I would be comfortable coding either the V71.89 with the V22.2 or the V89.09 depending on how the physician worded his note.

    Debra A. Mitchell, MSPH, CPC-H

  4. Default
    Hi All

    The V89.xx series code are for use in very limited circumstance on a maternal record whn an encounter is for suspected maternal or fetal condition (for example ,a maternal condition may be supected due to an abnormal test result as per icd guidelines . wat i thought is v71.4 is a appropriate code pls share ur thoughts.
    Regards..,
    Nandha CPC

  5. Default
    Thank you Mitchellde and Nanda kumar.
    As Mitchellde said , in other words, we never think of the last but not the least code of that series!
    I am not bringing it for the priority of coding but just the importance of that clinical and medical necessity of that code bieng included here.
    What for they are I ponder?
    The pregnant patient comes with a MVA. Wel,l there may not be any external or definite injury to the mother. But there can be (/ or not) later during the next 24-48hrs, anything like Abruptio, PROM, bleeing into the amniotic fluid, or bleeding from the placental site, diminshed fetal movements, or fetal distress or fetal demise can occur or may not.That is what we SUSPECT OF in this situations and may be NOT FOUND!
    It is not about the lab results or abnormal lab resutls this code set talking about.

    I believe for sure, that this code set should also be given place in assiignment!
    The codes you said are perfect . I have no second thought about it. But not yet convinced about 648.9.
    yes it is always documentation which is important; i agree
    Thank you very much

  6. Default
    Hi preserence

    FYI...Kindly check ICD-9-CM for physicians-vol 1&2 pg no-18 of coding guidelines there is a guidelines for the observation codes especially For v89.xx series
    Regards..,
    Nandha CPC

  7. Default
    Yes I do have the vol 1& 2 for Physician in front of me now. (2009).

    I DO NOT FIND THE CODE 89.X IN THAT PAGE 18 AS YOU SUGGESTED.

    The misc. V code category /codes info stops short after V85 (Body index) there.
    can you check it please. Is it in the latest addition 2010.
    By the way, can you copy it and post it sothat I can read it.
    Thank you

  8. Default
    Hi...preserene

    Its in 2010 book, But how can i copy it and paste any options pls tell me so that i can paste it
    Regards..,
    Nandha CPC

  9. Default
    Thank you. If you don't mind, just type those sentences alone with the code number and paste and post it in the thread. I am curious to know the jist of it. I dont have an access to 2010.
    Thank you very much

  10. Default
    The V89.xx series code are for use in very limited circumstance on a maternal record whn an encounter is for suspected maternal or fetal condition (for example ,a maternal condition may be supected due to an abnormal test result as per icd guidelines. This is wat i already sent
    Last edited by nandhakumar; 10-13-2010 at 11:29 AM. Reason: update
    Regards..,
    Nandha CPC

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