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19 weeks OB SAB

  1. Default 19 weeks OB SAB
    Medical Coding Books
    Hello Everyone.
    i have a 19 5/7 wks ob who had a Spontaneous Abortion. Most likely due to fetal anatomical and/or genetic disorder. (pathology report pending). Can anyone tell me how to bill this? Do I do delivery (59400) and indicate than fetus under 20-24 wks? Or do i bill antipartum and then SAB separate.
    Any ideas will help.

    THANKS!!!
    Last edited by dan528i; 10-09-2011 at 12:49 PM.

  2. Default
    If operative report state D&C then it's outside global, if vaginal delivery then it would be global 59400.

  3. Default
    Thanks A Lot!

  4. #4
    Location
    Tacoma, WA
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    1,087
    Default
    Quote Originally Posted by dan528i View Post
    Hello Everyone.
    i have a 19 5/7 wks ob who had a Spontaneous Abortion. Most likely due to fetal anatomical and/or genetic disorder. (pathology report pending). Can anyone tell me how to bill this? Do I do delivery (59400) and indicate than fetus under 20-24 wks? Or do i bill antipartum and then SAB separate.
    Any ideas will help.

    THANKS!!!
    It is not the global code since the pregnancy had not yet reached 22 weeks gestation. You can bill out the antepartum care and then whatever services were performed at the hospital, if any were done.

    CPT book page 289 description under Abortion "(For medical treatment of spontaneous complete abortion, any trimester, use E/M code 99201-99233) (For surgical treatment of abortion use 59812.)

    Diagnosis code is 632 if D&C required to complete or 634.xx for spontaneous complete (if no complications 634.92).
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  5. #5
    Default
    Arlene,

    I am wondering if I can ask you questions as I come across them regarding OB/GYN coding? I have done the billing for quite a while but recently started doing the coding and I am essentially training myself.

    My email is lftufts@noch.org

    Thanks,

    Leandra

  6. Default
    Sure, anytime. It will be my pleasure. My email is dan528i@mail.ru

  7. #7
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by Leandra View Post
    Arlene,

    I am wondering if I can ask you questions as I come across them regarding OB/GYN coding? I have done the billing for quite a while but recently started doing the coding and I am essentially training myself.

    My email is lftufts@noch.org

    Thanks,

    Leandra
    You may email anytime smith_arlene@hotmail.com.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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