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Icd 9 Code For Ob Ultrasounds

  1. Default Icd 9 Code For Ob Ultrasounds
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    I am having a difference of opinion on the screening code for an OB US of a normal pregnancy. One person says V22.1 and another says the more specific code schould be V28.8 or V28.9. What is the opinon of the AAPC

    Thanks Marsha

  2. #2
    Default ob ultrasounds
    I would think it would depend on the mother. The dx code in ICD-9 under V22.1 says supervision of other normal pregnancy.
    Under V28 it indicates it excludes routine prenatal care. So, to me if this is for routine prenatal care, I would use the V22.1. If there is something specific about the mother they are concerned about, then I would go with the V28.
    Anyone else?

  3. Default
    thanks for the reply just what I thought too.

  4. #4
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    We use V28.3 encounter for routine screening for malformation using ultrasonics and V28.81 encounter for fetal anatomic survey depending on the circumstance. If you look in your ICD-9 book at V28.3 it says it is for "routine fetal ultrasound NOS". I wouldn't use V22.1.

  5. Default OB Ultrasound
    For a general screeing the code would be V2889
    use V2881 for 18 -20 weeks i a pregancy

    http://www.womensimagingservices.com...my-survey.aspx

  6. Default
    For ob ultrasounds we use V28.3 for routine screenings as well.

  7. #7
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    Quote Originally Posted by mwarmke View Post
    I am having a difference of opinion on the screening code for an OB US of a normal pregnancy. One person says V22.1 and another says the more specific code schould be V28.8 or V28.9. What is the opinon of the AAPC

    Thanks Marsha
    V22.1 is not for ultrasound screening, that should be V28.3 (routine US) or V28.81.
    Since V28.3 is specific for ultrasound for routine screening, it should be used over one of the V22 codes.
    In 1999 Coding Clinic said to use V22.x when a pregnant woman presents for an ultrasound just to get a photo. In the same issue they said to use V28.8 for routine ultrasound. Subsequently, V28.8 was changed and then in 2009 the description for V28.3 was changed to include "routine screening for malformation using ultrasonics" and "Encounter for routine fetal ultrasound NOS".

  8. Lightbulb Abnormal Obstretic ultrasound
    What would we code for Abnormal obstretic US ?

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