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hx of shoulder dystocia / Venipuncture

  1. Question hx of shoulder dystocia / Venipuncture
    Medical Coding Books
    I need help on two things..


    1. Dx is history of shoulder dystocia... I found 660.4x but I feel like that is wrong because it doesn't state "history." What would be a more appropriate code?


    2. Our office is going to start drawing blood then we sent it off to the lab to be tested. Can I code 36415 (Venipucture)? Does it change if we do not test it too?

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    Quote Originally Posted by mashtoncason@hotmail.com View Post
    I need help on two things..


    1. Dx is history of shoulder dystocia... I found 660.4x but I feel like that is wrong because it doesn't state "history." What would be a more appropriate code?


    2. Our office is going to start drawing blood then we sent it off to the lab to be tested. Can I code 36415 (Venipucture)? Does it change if we do not test it too?
    On number 1. - there are no history of codes for those type of problems in a previous delivery. This can only be coded if it is a current problem. What are you attaching the code to..a procedure, a visit, the delivery?

    Number 2 - you may code a 36415 for a blood draw, not all payers will reimburse for a blood draw. The code for venipuncture is simply for drawing the blood so it does not matter if you are running the test or sending it out.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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