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OB sonogram

  1. #1
    Smile OB sonogram
    Medical Coding Books
    Hello,

    I am new to OB coding for Sonography. I am coding out a limited study, 76815, and want input on correct diagnosis.

    Patient had previous sono in 11/2011, and the doctor ordered a follow up sono on 12/29/11 because the fetus was in breeech position on the 11/2011 Sono.

    I found a diagnosis code of 761.7, malpresentation before labor. I am not sure if I should use this, or another code form pregnancy complication area.

    Does anybody have any useful tips.

    Thanks,

    LIsa Gasho/Wichita, KAnsas

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by LISAGASHO View Post
    Hello,

    I am new to OB coding for Sonography. I am coding out a limited study, 76815, and want input on correct diagnosis.

    Patient had previous sono in 11/2011, and the doctor ordered a follow up sono on 12/29/11 because the fetus was in breeech position on the 11/2011 Sono.

    I found a diagnosis code of 761.7, malpresentation before labor. I am not sure if I should use this, or another code form pregnancy complication area.

    Does anybody have any useful tips.

    Thanks,

    LIsa Gasho/Wichita, KAnsas
    You need to be looking at the codes in the OB section 630-679. The 761.7 code is to report a problem with a baby after it is born that originated in the perinatal period. You will need a code from the 652 section, Malposition and malpresentation of fetus.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Default Ob sono
    Thanks Arlene,

    that makes perfect sense, thanks for your help.

    Lisa Gasho

  4. #4
    Location
    Salt Lake City
    Posts
    841
    Default 76816
    A follow up ultrasound should be coded 76816.
    Jenifer McPolin CPC, CPMA, RCC

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