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6 month old with hx of drug exposure

  1. #1
    Location
    Madison Wisconsin
    Posts
    49
    Question 6 month old with hx of drug exposure
    Medical Coding Books
    What ICD-9 code would I use for a baby with history of drug exposure during the pregnancy, there are no documented current effects. Provider used, In utero drug exposure (760.70) via placenta or breastmilk but the definition states "fetus or newborn"
    Gina, CPC

  2. #2
    Location
    Stuart, Florida
    Posts
    331
    Default
    That is definitely the wrong code selection, as you stated that there are no documented effects due to the drug exposure to the child and 760.X code range specifically states "includes the listed maternal conditions only when specified as a cause of mortality or morbidity of the fetus or newborn".

    What exactly was the nature of the encounter? Why did the patient come in? Was it specifically to observe the child's condition due to the drug exposure? Or is the "hx of in utero drug exposure" more of a side note? Is the child perfectly healthy? I'm thinking that you should be thinking more in terms of a V-code. V61.42 is the code for Substance abuse in family. I can't give you a confident answer without some documentation though.
    Vanessa Mier, CPC

  3. #3
    Location
    Madison Wisconsin
    Posts
    49
    Default
    It was more of a side note, states father will bring in discharge paperwork from the PICC center that the baby was in for withdrawl after delivery. There is an active CPS case.
    Gina, CPC

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