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Thread: featl demise 17-19 weeks and vaginal delivery

  1. #1
    Join Date
    Apr 2007
    Posts
    49

    Default featl demise 17-19 weeks and vaginal delivery

    I have a situation where a pt went to the e.r with excessive bleeding and no prenatal care. The pt went through a vaginal delivery. Would this still be billed as 59409?

  2. #2

    Default

    CPT say for medical treatmet of spontaneous complete abortion (miscarriage), any trimester, use E/M codes 99201-99233. Was the fetus born alive or did it die inutero?
    adrianne, cpc

  3. #3

    Question Inevitable Abortion

    I have a similar situation,

    This patient was PPROM and vaginal bleeding @ 19 wks, pt was given misoprostol and delivered baby with apgar 1*1*1*9, doctor checked vaginal delivery,
    Should it just be admission and sub with DX 635.70 LEGAL AB W COMP NEC-NOS, 658.23 PROLONG RUPT MEMB-AP ?

  4. #4
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    11,476

    Default

    As far as the dx code, look to the coding guidelines... If the baby is delivered live at birth regardless of how long the baby lives then it is a delivery 650 if it is normal with a V code for the outcome of liveborn. I am not certain of using an E&M code if the physician documents a preterm delivery.

  5. #5

    Default

    Here is a link to ACOG explaining what they think you should bill before and after 20 weeks. I had a similiar situation to yours and I billed an E&M with the placenta delivery code.

    http://www.acog.org/from_home/depart...-abortions.pdf

  6. #6

    Default Link suggested above

    The link suggested above does not work anymore.

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