AAPC - Back to school
Results 1 to 4 of 4

Thread: Anyone knowledgable about Observation coding?

  1. #1
    Join Date
    Apr 2007

    Default Anyone knowledgable about Observation coding?

    AAPC: Back to School
    Just got a new job! I'd thought I'd be mostly doing outpatient encounters at an ASU, but it turns out a large part of my responsibilty is observations, which are almost all maternity related.
    Nearly all of the reasons for visits are either "rule outs"- rule out PIH, rule out preterm labor, etc., or they are simply orders for Non Stress Tests. It is very rare for any of these to have an actual diagnosis given in the physician's notes, or even to be able to infer something definite.

    For admitting and reason for visit Dx, it sometimes seems appropriate to code for the suspected condition, but I'm often at a loss of how to code the Principal Diagnosis.
    I've often had to settle on V8909 "other suspected maternal or fetal condition not found"
    or 64683 "other specified complication of pregnancy"

    Anyone have any input on these types of situations?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    I agree with Mdunn. The V89.xx codes are for conditions suspected but not found after study.. think of these codes as "ruled out" codes. There is no code and no way to code for suspected or rule out conditions

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Kansas City, MO


    When there is a rule out situation, you can usually code from te symptons...pain or bleeding...there has to be a reason they are worried about pre-term labor, or whatever.

  4. #4

    Default V8909

    I recently starting coding OB patients that are sent to for NST, observation, etc. Most have vague symptoms. V89.0 codes seem to be a great way to code these, but the Coding Clinic states these are to be used in very limited circumstances, which confuses me since it seems the majority of these OB patients, after observation, don't have any problems.

    How would you code the following: An OB patient came in suspecting her water had broke because her clothes were wet. She had no other symptoms. Observation and NST were performed. It was determined that she was not in labor, her water had not broken, and no contractions were detected. However the patient does have gestational diabetes. Is it appropriate to use V89.09 in this case? The gestational DM is not related to her water breaking, but it is related to the pregnancy. After talking with my coworkers, we decided on V89.09 and 64883. I would be interested to know other's opinions regarding this.

Similar Threads

  1. observation coding
    By humairamoiz in forum Emergency Department
    Replies: 1
    Last Post: 06-19-2014, 04:03 AM
  2. Observation coding
    By ksoutherland in forum Employment General Discussion
    Replies: 1
    Last Post: 02-27-2012, 02:29 PM
  3. Observation coding.
    By dgiretto in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 12-05-2011, 05:23 PM
  4. Observation coding
    By glenski91175 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-25-2010, 08:12 AM
  5. Replies: 1
    Last Post: 10-27-2009, 12:32 PM

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.