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Ob/gyn us

  1. Default Ob/gyn us
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    HELP!!!! I can't get a clear answer on this, so would someone help me please!

    When a patient has an incomplete miscarriage and our physicians do a D&C (59812), then returns several weeks later with heavy bleeding and an ultrasound is done to confirm POC, do I code the ultrasound as 76801 (OB) or 76835 (GYN)? Do I use diagnosis code 634.11 or 626.8?

    When a second D&C is done, this time using a hysteroscope, do I code the 59812 (OB), modifier 78, or 58558 (GYN) with a 634.11 diagnosis?
    Last edited by dpetersen; 10-06-2011 at 05:58 PM.

  2. #2
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    Idaho Falls, Idaho
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    You would do the GYN ultrasound w/ the dx POC. Same for the D&C. She is not currently pregnant, so you would not use the pregnant codes.
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    codingsurgeon@tesja.com
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

  3. #3
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    Quote Originally Posted by tmerickson View Post
    You would do the GYN ultrasound w/ the dx POC. Same for the D&C. She is not currently pregnant, so you would not use the pregnant codes.
    Hi Tesja.

    I know this is several years after initiating this thread, but I hope you can help me out. This is what I remember regarding US coding after a miscarriage, but I have not been able to find a resource to back me up on it. Do you have a link to an authoritative source that I can give to my providers?

    Thanks much!

    Karen

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