AAPC - Back to school
Results 1 to 2 of 2

Thread: fetal demise

  1. #1

    Default fetal demise

    AAPC: Back to School
    hi, not sure what cpt/dxcd to use for a c-section, 17 week fetal demise due to placenta previa. The doctor dictates a classical c-section delivery was performed. I'm new to coding ob charges, and am not quite sure how to code this. any input and reference material quotes would be greatly appreciated - thank you so much - Laura

  2. #2


    BUT UNFORTUNATELY IT CANNOT BE because the fetal demise at 17weeks takes it to ABORTION AND NOT DELIVERY.
    The placenta previa status with out bleeding also all the more would not place it because of the fact that the higher degree of placenta previa cannot be assessed at this age of preg/fetus. ( because the placenta may ascend up during the advancing pregnancy).

    The term Classical Cesarean needs the viable age of the fetus to merit, meaning to place it as delivery not abortion. Your case very well suits into HYSTEROTOMY
    The worst is that the payer may try to place it at 59821, treatment for missed abortion which is surgical, though, we all know it is not fair to place it in a sort of minor procedure like that.

    This will definitely merit for 59852 or 59857, if IA/ or Medical induction tried.

    But without such induction, the one would be either of them with -52.
    Sometimes with the reason with severe bleeding and not advisable induction
    modalities, with pertinent validating and medical necessity documentation from the Surgeon, can merit for Hysterotomy Code.
    Special Report may be needed
    I only wishingly speculate it goes for Classical Cesarean 59514with Modifier -52 !!!??

Similar Threads

  1. fetal demise
    By kobusk in forum OB/GYN
    Replies: 18
    Last Post: 03-11-2013, 07:53 AM
  2. Fetal Demise
    By amylis1 in forum OB/GYN
    Replies: 2
    Last Post: 07-06-2012, 09:53 AM
  3. Fetal Demise
    By nelamaria in forum OB/GYN
    Replies: 5
    Last Post: 11-08-2010, 04:26 AM
  4. Fetal Demise
    By vj_tiwari in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-25-2010, 11:08 AM
  5. fetal demise
    By jptingh in forum OB/GYN
    Replies: 3
    Last Post: 01-04-2010, 09:57 AM

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.