I'm not trying to disrespect you- clearly we both have misunderstood something at some point- I said my physician doesn't document and according to the guidelines you are referring to- "Obstetric cases require codes from chapter 11, codes in the range 630-679, Complications of Pregnancy, Childbirth, and the Puerperium. Chapter 11 codes have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in conjunction with chapter 11 codes to further specify conditions. Should the provider document that the pregnancy is incidental to the encounter, then code V22.2 should be used in place of any chapter 11 codes. It is the provider's responsibility to state that the condition being treated is not affecting the pregnancy." it doesn't tell me that I have to assume its a complication. I was under the impression that it must be stated that the condition is complicating the pregnancy, and if it's not I revert to section E or the little e: under Current Conditions Complicating to Pregnancy- Assign a code from subcategory 648.X for patients that have current conditions when the condition affects the management of the pregnancy, childbirth, or the puerperium. Use additional secondary codes from other chapters to identify the conditions, as appropriate.
It is the provider's responsibility to state that the condition being treated is not affecting the pregnancy. If the physician doesn't state the condition is affecting the pregnancy, then why would I assume its a complication? Wouldn't I have to assume he'd need to state its a complication as well? I assumed this statement went with the sentence prior with V22.2 guidelines.
Anyhow, either way, coding is open to interpretation and its always good to see other view points. I don't believe one way is wrong over the other. I've only been doing this for 8 years and I know every day is a learning experience in coding world.
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