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bleeding after medical abortion

  1. #1
    Default bleeding after medical abortion
    Exam Training Packages
    Patient presents to ED with vaginal bleeding. 23 days previously patient was given "an abortion pill" for a 7 week IUP. One week later the patient had a follow-up ultrasound and it showed that the embryo got absorbed. The patient had been bleeding lightly since she was given the medication along with minimal spotting. On day 24, the patient is bleeding with small clots.
    The physician documents as final dx: vaginal bleeding before 22 weeks gestation and medical abortion.
    Would 635.92 be an appropriate dx in this case?

    Thanks for any help.

  2. Default Bleedig status post abortion
    Hello RH Blevins:
    I would code the chart as (from what your note states)
    635.72
    623.8

    Description please see below:

    635.72 Legally induced Abortion with other specified complication

    Complication: Vaginal Bleeding

    623.8

    From what I can gather from your note the Dr. does not say Hemorrhage (if he/she did then I would use 635.12

    C. Clark CPC, CEDC

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