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cesarean delivery after failed attempt of trial delivery

  1. #1
    Default cesarean delivery after failed attempt of trial delivery
    Medical Coding Books
    I can't figure out the correct code for a cesarean delivery after a failed trial of a vaginal delivery and no other OB care for this patient. Do I only use 59514?

    Thank you!

  2. Default
    59618-59622 is for failed vaginal delivery, previous c-section. Maybe this will help. Also, the ICD-9 will reflect the code for complications leading to the delivery. I hope this helps!

  3. #3
    Default
    Does that work though if this is her first baby and she hasn't had a previous C-section before?

  4. #4
    Location
    Greater Orlando
    Posts
    146
    Default
    No, not if those are not your facts.

    Searching the forums, I found that your question was asked on 5-26-2010 (see http://www.aapc.com/memberarea/forum...ginal+delivery).

    The conclusion, there, was that you only code the successful procedure. From that, I take it you would use 59410 (Routine obstetric care including antepartum care, cesarean delivery, and postpartum care) if the vaginal delivery (if it had worked) would ahve been coded 59400.
    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

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