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newborn echoencephalography

  1. #1
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    Montgomery
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    Default newborn echoencephalography
    Medical Coding Books
    i have a doc that does echos, (76506) on premature babies. i've never coded for newborns before and i know there are specific codes. when the echo is interpreted as normal, i'm using dx codes 769 (resp distress in newborn) and 765.15 (premie) and 765.25 (wks of gest)

    do i need to include a Vcode in the dx and should the premie dx be primary or should the resp distress be the primary dx?

  2. #2
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    Quote Originally Posted by rlh27 View Post
    i have a doc that does echos, (76506) on premature babies. i've never coded for newborns before and i know there are specific codes. when the echo is interpreted as normal, i'm using dx codes 769 (resp distress in newborn) and 765.15 (premie) and 765.25 (wks of gest)

    do i need to include a Vcode in the dx and should the premie dx be primary or should the resp distress be the primary dx?
    Why would you use respiratory distress? I don't think that will work for an echo of the head for abnormalities. The dx code should be one of the premie codes 765.10-765.19 (based on weight) if it is a normal echoencephalography. Of course if something else is found you would use the appropriate code for the condition. The V codes and the 725.65 are not listed as appropriate codes for this CPT code.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Location
    Montgomery
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    47
    Default
    I was also iffy about using respiratory distress, but that is the only dx code on every intro to the test result. I pulled the other codes from the ordering physician's note. All I have on the test result is usually:

    Test: 2-D echoencephalography

    Dx: 769

    "Impression: Normal cranial ultrasound"

    Thank you so much for your help.

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