it's my understanding that when there's a complication of anykind, related or unrelated to the pregnancy, not there for their "normal" routine prenatal care; outpatient physician office visit or inpatient stays: it falls out of the global prenancy care. At which point we would be coding "complications of " for the dx's and of course the appropriate E/M level.
I've had trouble with that at times though, like when a patient comes in with a sore throat during pregnancy - I'm told I need to code that as a complication of pregnancy - I don't see it as such, I see it as a sore throat w/ pregnancy incidental. But, if they came in with cramping, to me that IS a complication.. but my supervisors tell me "both" are - and to code accordingly.
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