AAPC - July Freedom Sale

Results 1 to 8 of 8

Thread: CPT code for delivery

  1. #1

    Default CPT code for delivery

    Is there a different CPT code for a delivery for fetal demise at 19 1/2 weeks. Or is the fee just prorated. I am doing an investigation. Thank you in advance for your expertise.

  2. #2

    Default

    My Providers generally do a D&C with fetal demise and I will bill out 59820.

  3. #3

    Default

    I am curious to what others will say to this. I have run across this situation where pt is say 20-25 weeks pregnant and has fetal demise and the doctors will actually induce their labor so that they deliver vaginally. We have billed a delivery but many times they do not pay for this.

  4. #4

    Default

    I use 59820 or 59821 depending on the trimester.
    adrianne, cpc

  5. #5

    Default

    I believe if the demise is <20 weeks it can be billed as dilation and evacuation with antepartum visits billed separately, >20weeks bill global delivery if you were the only provider for the antepartum and delivery. This is similiar to a premature delivery where the patient is seen for fewer than 13 usual antepartum visits but it is still appropriate to bill globally.

  6. #6
    Join Date
    Apr 2007
    Location
    Watertown, NY
    Posts
    108

    Default

    the VAGINAL delivery and vaginal suppositories (ie cytotex)were used you can use 59855(prior to 20 weeks). i know this is an abortion code and you usually have to appeal with documentation stating this was not elective and if the pt were to remain pregn. without intervention major complications can arise,
    the dx would be 632 per ACOG
    i have gotten all mine paid. the reason i dont choose form the 59820 section is the dr isnt perfoming a surgery
    good luck
    chris CPC

  7. #7
    Join Date
    Apr 2007
    Posts
    16

    Default fetal demise at 16 wks

    I'm new at this, our doctor did a misoprostol induction for a vaginal delivery. The baby was already fetal demise at 16 wks and not sure if I code 59855 and delivery charge? This was done at the hospital and the insurance is medicaid.

    Thank you.

  8. #8
    Join Date
    Apr 2007
    Posts
    16

    Default left oophorectomy via laparotomy

    2017 ICD-10-CM Coding Book
    Please help with this CPT coding since I'm new to OB. Procedure is left oophorectomy via laparotomy/ repair of 6 x 3 ventral hernia superior to the umbilicus and also a repair of 4 cm umbilical hernia/ and abdominoplasty.
    The dx is left dermoid cyst, Ventral hernia and Pannus. I hope I'm on the right spot because I haven't received an answer to my previous question regarding 16 week fetal demise. If not please tell me how. See others getting answers and not sure if i posted this correctly to get an answer.

    thank you
    Last edited by hgonzales; 04-28-2010 at 06:18 AM.

Similar Threads

  1. CPT for outside of hospital delivery
    By alw0901 in forum OB/GYN
    Replies: 1
    Last Post: 08-06-2014, 01:05 PM
  2. CPT code for delivery of placenta only
    By Miller913 in forum OB/GYN
    Replies: 1
    Last Post: 07-23-2014, 12:35 PM
  3. 19 week delivery cpt needed
    By lorilynn7657 in forum OB/GYN
    Replies: 1
    Last Post: 04-30-2012, 05:22 PM
  4. 18 wk fetus delivery code
    By wankmuka in forum OB/GYN
    Replies: 1
    Last Post: 03-09-2012, 01:32 PM
  5. CPT CODE(s) FOR MIDWIFE HOME DELIVERY??
    By Stephanie39 in forum OB/GYN
    Replies: 1
    Last Post: 09-22-2010, 12:55 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.