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Posted By Cathy on 10-19-2017, 11:50:58 in Ob-Gyn
Our doctor did a c-section, and while baby #2 was being delivered mom went into cardipulmo...
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Posted By Jan on 10-19-2017, 10:16:57 in Ob-Gyn
Drs. note states she sees her PCP for all her bloodwork and P.E. etc, all she is requestin...
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Posted By Lisa on 10-19-2017, 08:27:29 in Ob-Gyn
Hi Melanie, Can you please offer some assistance? The pt is s/p TLH 8 wks, cleared for  ...
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Posted By Gracie Ermitano on 10-16-2017, 18:28:19 in Ob-Gyn
Hi Melanie, I was wondering if you could check the codes that i have provided for the case...
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Posted By Angie Bouchard on 10-16-2017, 06:57:22 in Ob-Gyn
Hi Melanie,

Patient presented to hospital at 21 0/7 wks after two doses of Laminaria d...
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Posted By Gracie Ermitano on 10-15-2017, 23:16:59 in Ob-Gyn
Hi Melanie, I am just wondering if we have some documentation policies when we see a phys...
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Posted By Jan on 10-12-2017, 15:21:33 in Ob-Gyn
What would be the proper ICD-10 for an ultrasound of the surrogate female prior to implant...
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Posted By Shelley on 10-10-2017, 12:10:23 in Ob-Gyn
I wanted to see if someone can help me in choosing the correct ICD 10 code effective 10.1....
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Posted By Danielle Levy on 10-10-2017, 04:19:59 in Ob-Gyn
Pt was admitted on 09/19/2017 for a TAH/BSO , She was then readmitted on 09/23/2017 for co...
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Posted By Danielle Levy on 10-09-2017, 11:11:08 in Ob-Gyn
Melanie,
Our physician performed an Anterior/Posterior Colporrhaphy with Enterocele, Va...
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Posted By Jeff ED on 10-08-2017, 06:35:54 in Emergency Department
EMS contacts ED physician for patient having acute STEMI. Prior to patient's arrival in ED...
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Posted By dawn b on 10-06-2017, 11:20:14 in Ob-Gyn
I am questioning how to code (icd 10cm) the delivery of twins with selective reduction of ...
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Posted By Lynn Radecky on 10-06-2017, 05:02:43 in Ob-Gyn
A patient had a vaginal delivery, one hour later she was having a PP hemorrhage. The pati...
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Posted By angie on 10-05-2017, 08:33:30 in Ob-Gyn
not sure what CPT code to use. see file attached...
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Posted By Gracie Ermitano on 10-04-2017, 15:33:27 in Ob-Gyn
Melanie, just a followup question to the previous question you answered. How about in chil...
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Posted By ob/gyn on 10-04-2017, 14:01:42 in Ob-Gyn
I was hoping I could get some guidance on the new Z36 codes that just went in effect on th...
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Posted By ob/gyn on 10-03-2017, 08:11:09 in Ob-Gyn
We are wanting to start screening our patients for SMA 81401 http://www.questdiagnostics.c...
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Posted By Cathy on 09-29-2017, 14:40:06 in Ob-Gyn
I have a doctor that wants to see in writing where she has to document anywhere in her not...
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Posted By Lillian on 09-29-2017, 10:35:01 in Ob-Gyn
If a patient is in the hospital for several days being induced for a delivery, are those ...
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Posted By linda on 09-27-2017, 10:37:28 in Otolaryngology
Can we bill audiology testing for a UHC Medicare patient under the physician?
...
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Posted By Danielle Levy on 09-27-2017, 08:13:55 in Ob-Gyn
Melanie,
Our physician states he performed a posterior colporrhaphy with enterocele rep...
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Posted By anita lawnick on 09-27-2017, 06:20:01 in Ob-Gyn
When we see a patient for conformation of pregnancy, I bill a 76817 with a dx of Z32.0. I ...
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Posted By CAROL HAVENER on 09-26-2017, 09:12:59 in Ob-Gyn
When using the new Z36 codes which code would be used for a 20 week anatomy scan? Which c...
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Posted By Gracie Ermitano on 09-22-2017, 17:21:11 in Ob-Gyn
Hi Melanie, how do you code Rubella non-immune status in a pregnant patient. I can only...
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Posted By angie on 09-21-2017, 13:33:15 in Ob-Gyn
See attachment, need help on CPT code to use. Not a normal leep procedure, but not just a...
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Posted By Lynn Radecky on 09-19-2017, 11:27:08 in Ob-Gyn
I have a question about obstetrical patients in observation status. If a patient is under...
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Posted By Danielle Levy on 09-19-2017, 10:40:43 in Ob-Gyn
Our physician performed a Altis sling for urinary stress incontinence and a posterior colp...
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Posted By Danielle Levy on 09-15-2017, 10:35:06 in Ob-Gyn
Our physician performed a Altis sling for urinary stress incontinence and a posterior col...
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Posted By Lisa on 09-08-2017, 11:30:44 in Ob-Gyn
Hi Melanie, In preparing for the new ICD 10 codes, I have been asked for clarification on...
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Posted By Gracie Ermitano on 09-01-2017, 20:59:20 in Ob-Gyn
Hi Melanie! Hope you are doing fine! I would like to ask your opinion for hysterectomy cod...
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Posted By lana on 08-31-2017, 15:04:15 in Ob-Gyn
A representative from United Healthcare Community Plan (TN Medicaid) stated that pharmacie...
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Posted By Lisa on 08-31-2017, 09:57:10 in Ob-Gyn
Melanie, This patient had a TLH on 08/17/17 and on 08/24/17 had the surgery below. Not su...
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Posted By Danielle Levy on 08-29-2017, 09:51:12 in Ob-Gyn
Our physician performed a LSC converted to open laparotomy for bilateral salpingectomy and...
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Posted By Danielle Levy on 08-24-2017, 04:17:33 in Ob-Gyn
Our physician performed a LSC converted to open laparotomy for bilateral salpingectomy an...
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Posted By Danielle Levy on 08-24-2017, 04:01:29 in Ob-Gyn
Good Morning,
Out patient was scheduled for a LSC right oophorectomy along with left ov...
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Posted By ob/gyn on 08-23-2017, 08:37:14 in Ob-Gyn
One of our doctors were consulted at the end of a c-section on a patient to perform a "Rep...
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Posted By Lynn Radecky on 08-22-2017, 07:05:41 in Ob-Gyn
A patient has to undergo ultrasonic guidance to remove an IUD. What would the correct cpt...
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Posted By amir mahmoodi on 08-20-2017, 13:31:13 in General Surgery
what icd-9-cm procedural code for excision of paratubal cyst can I assign?...
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Posted By Jessica on 08-10-2017, 12:16:51 in Ob-Gyn
My physician removed an IUD laparoscopically and reinserted a new device while in the OR. ...
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Posted By fila martinez on 08-09-2017, 13:56:17 in Ob-Gyn
Good afternoon, I need the code for a vaginal cuff repair after a hysterectomy done 6-17....
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Posted By Nancy on 08-09-2017, 07:04:45 in Ob-Gyn
We deliver patients in the hospital who receive no prenatal care. We perform delivery, and...
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Posted By jan on 08-07-2017, 12:38:39 in General Surgery
The pre-op plan was to remove the spleen. But due to excessive bleeding, adhesions, a sub...
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Posted By Richard Dinaso on 08-06-2017, 10:19:55 in Neurosurgery
Hi, I need some advice. I code for neuroendovascular and they do mostly diagnostic angiogr...
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Posted By fila martinez on 08-02-2017, 13:19:23 in Ob-Gyn
Good afternoon. I have a patient that had a uterine inversion after a vaginal delivery. Th...
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Posted By angie on 08-02-2017, 08:33:12 in Ob-Gyn
I have a old audit sheet that states for 1995 guidelines

problem Focused exam we need 1...
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Posted By Melanie Witt on 08-01-2017, 14:15:53 in Ob-Gyn
This is to let the forum watchers know that I will be on vacation from August 6-21 and wil...
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Posted By Lynn Radecky on 07-31-2017, 06:27:00 in Ob-Gyn
a patient had a primary c/section for breech and fibroids. The c/section was completed in...
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Posted By Danielle Levy on 07-28-2017, 11:31:40 in Ob-Gyn
Our physician performed an open abdominal myomectomy and removed 19 fibroids . Inclusively...
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Posted By lana on 07-28-2017, 06:52:54 in Ob-Gyn
Where can I find a list of ICD10 changes/updates/new codes for 2018? CPT changes for 2018?...
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Posted By ob/gyn on 07-25-2017, 08:25:19 in Ob-Gyn
Patient had a urethral sling and 6 months later complained in office about the mesh which ...
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Posted By ob/gyn on 07-25-2017, 07:53:56 in Ob-Gyn
Doctor had a patient with vaginal adhesion and did a procedure in the office and I could u...
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Posted By Dorine on 07-21-2017, 07:11:20 in Ob-Gyn
Hello List, Would like to confirm my code choice for this procedure please. After pt was p...
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Posted By angie on 07-18-2017, 12:40:19 in Ob-Gyn
cpt code for perineorrhaphy/excision of labial agglutination...
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Posted By kerri on 07-16-2017, 13:10:12 in General Surgery
One of the billers where I work did a rebill for a DOS going back to 2014. As we know 201...
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Posted By jamie on 07-14-2017, 08:31:53 in Ob-Gyn
We have a physician leaving the practice next month so when I bill her deliveries up until...
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Posted By Richard Dinaso on 07-09-2017, 08:59:58 in Neurosurgery
Hello! I'm new to neurosurgery/neuroendovascular coding and last week I had a meeting with...
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Posted By Lillian on 06-30-2017, 07:39:05 in Ob-Gyn
I was under the impression that if a patient comes back for a repap AFTER an annual we sho...
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Posted By anita lawnick on 06-27-2017, 07:33:30 in Ob-Gyn
I'm coding for the abdominal mymoectomy (58140), but the path report says a left para tuba...
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Posted By Raquel Ortega on 06-20-2017, 15:12:26 in Ob-Gyn
Having issues with payment on Pessary. Will insurances pay for A4561 Pessary? Patient's ha...
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Posted By Danielle Levy on 06-20-2017, 12:22:54 in Ob-Gyn
Our physician performed a LSC retroperitoneal sidewall dissection at the same time as a LS...
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Posted By Jill Richardson on 06-19-2017, 11:09:53 in Ob-Gyn
I know this has been addressed before, but I can't seem to find it in the archives.
I nee...
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Posted By lana on 06-14-2017, 11:52:17 in Ob-Gyn
Can someone elaborate on the new HCPCS codes (July 2017) Q9985 Inj, hydroxyprogesterone, ...
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Posted By Barbara on 06-13-2017, 12:40:16 in Ob-Gyn
Does anyone know if there is a cpt code that can be used for billing purposes in regards ...
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Posted By Glory P on 06-13-2017, 11:37:13 in Ob-Gyn
Please help. Not sure the best code for this should we bill 59899-78 or 59160-78? The pati...
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Posted By dawn b on 06-13-2017, 10:24:14 in Ob-Gyn
Just questioning what I should use to code this surgery----Diagnostic laparoscopy with rem...
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Posted By Dorine on 06-07-2017, 08:02:17 in Ob-Gyn
Hello Group, My doctor performed an EMB and obtained PVR-my question is do I have enough i...
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Posted By Lisa on 06-05-2017, 11:45:24 in Ob-Gyn
Good Afternoon, Can you please offer some assistance? Would you suggest unlisted proced...
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Posted By Lisa on 06-01-2017, 04:55:54 in Ob-Gyn
Good Morning, When a provider performs a BPP and/or a Doppler without an indication and t...
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Posted By Dr. Michael Ferragamo on 05-24-2017, 03:39:45 in The Coding Council
We hope our webinar met your expectations and that you found the session informative and w...
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Posted By Glory P on 05-18-2017, 08:58:55 in Ob-Gyn
I'm having trouble selecting the correct code for this procedure. I'm thinking it's eithe...
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Posted By Lillian on 05-11-2017, 07:02:01 in Ob-Gyn
What is the coding protocol when an ob patient comes in the office to be monitored because...
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Posted By Melissa Ussery on 04-27-2017, 17:01:50 in Cardiology
Patient had an ILR implant(90 day global) for arrhythmia on the 13th by one of our EP phys...
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Posted By Cindy Rogers on 04-20-2017, 08:49:56 in Ob-Gyn
Patient had a D&C for a MAB on 4/11. On 4/17, returned to the ER with fever and pain. A r...
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Posted By Cathy on 04-18-2017, 13:12:46 in Ob-Gyn
Patient is 17 weeks. Do we use O20.8? Our EHR system maps it to O41.8x2. Thank you!...
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Posted By jamie on 04-10-2017, 12:45:52 in Ob-Gyn
Maternal Fetal Medicine office wants to charge a 93976 to check the uterine artery. Is it...
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Posted By Maria on 04-05-2017, 11:50:11 in Ob-Gyn
Hey Melanie,

You helped me before with this code description. (Your answer is below) T...
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Posted By De Nai English on 04-05-2017, 10:43:28 in Ob-Gyn
I am looking for assistance on ACOG guidelines on when we should bill CPT code 17250, Chem...
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Posted By jamie on 03-31-2017, 12:38:15 in Ob-Gyn
What would be the most comparable cpt code to the LUNA( Lap. uterosacral nerve ablation) u...
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Posted By Dorine on 03-30-2017, 13:38:36 in Ob-Gyn
Hello,

One of our doctors is investigating performing Botox injections for Vaginisum. H...
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Posted By Alma DuVernay on 03-30-2017, 04:41:03 in Ob-Gyn
Physician performed a total vaginal hysterectomy, uterosacral ligament suspension, anterio...
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Posted By Dawn on 03-29-2017, 10:02:12 in Cardiology
Can anyone help with how to code for an ablation of SVT substrate? the provider performed ...
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Posted By Cheryl on 03-27-2017, 07:03:51 in Neurosurgery
Can you bill multiple craniotomies and craniectomies in one operative session? I have a d...
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Posted By Lillian on 03-24-2017, 07:26:01 in Ob-Gyn
Patient had a Hysteroscopic removal of IUD and a Hysteroscopic Ablation Discontinued.
Can...
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Posted By Deborah Roorda on 03-23-2017, 19:00:32 in Ob-Gyn
Pt had a LEEP procedure and ten days later present to ER with vaginal bleeding. Upon exam ...
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Posted By ob/gyn on 03-23-2017, 13:28:52 in Ob-Gyn
Our PA did a Hysterosalpingogram for infertility on one of our patients because there was ...
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Posted By ob/gyn on 03-21-2017, 12:36:03 in Ob-Gyn
Patient had Evacuation of inclusion cyst.

A portion of the report reads as the followin...
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Posted By Cheryl on 03-16-2017, 07:21:41 in Neurosurgery
This was a through and through shot. My doctor wishes to bill for the following cpt codes...
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Posted By Lynn Radecky on 03-15-2017, 10:11:08 in Ob-Gyn
what dx codes should I use when a patient is pregnant and her Zika testing was negative bu...
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Posted By Kathy Harmon on 03-15-2017, 05:35:36 in Pediatric
I am new to Pediatric coding and have a question about code 99478 - 99480. From what I ha...
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Posted By ob/gyn on 03-10-2017, 07:47:44 in Ob-Gyn
We have a patient that had a Labial fusion and in office we did a separation with local an...
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Posted By Lillian on 03-09-2017, 11:44:05 in Ob-Gyn
There are several codes which to choose from and I'd like to know the difference as to whe...
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Posted By Tracey Mathew on 03-06-2017, 04:44:14 in Ob-Gyn
Do we have to put the ICD-10-CM Z3A.- weeks of gestation codes on every single encounter f...
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Posted By Lisa on 02-23-2017, 11:51:13 in Ob-Gyn
Hi Melanie, We have a little debate going on in our office and would welcome your input. ...
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Posted By Deborah Roorda on 02-22-2017, 07:18:49 in Ob-Gyn
Pt had a C/S for placenta previa @ 8:40am. A few hours later started with postpartum hemo...
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Posted By Shannon M. on 02-15-2017, 10:35:51 in Ob-Gyn
The op report states the Lone Star retractor was placed to retract the vaginal mucosa. The...
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Posted By ob/gyn on 02-15-2017, 06:55:54 in Ob-Gyn
We were asked to consult a patient in office that delivered(not our patient) over 2 months...
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Posted By Donna on 02-12-2017, 07:11:05 in Neurosurgery
If our doctor (neurosurgeon) who is NonPar with insurance and has an emergent surgery........
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Posted By jamie on 02-10-2017, 07:59:47 in Ob-Gyn
There is a set of Triplets in our office and they are Dichorionic and Triamniotic but the...
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Posted By Lisa on 02-08-2017, 10:02:46 in Ob-Gyn
Hi Melanie, If a patient has a vaginal hysterectomy, bilateral salpingectomy, uterosacral ...
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Posted By ob/gyn on 02-07-2017, 13:58:41 in Ob-Gyn
Patient had a fetal demise at 23 weeks. She was given oral cytotec and delivered infant...
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