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Posted By sonia coder on 03-12-2018, 15:25:11 in Ob-Gyn
Hi Melanie- In regards to the below guideline, if a pt is admitted at 38.6 weeks in labor and delivers at 39 weeks what weeks gestation code would I use? Does it matter if there is a complication?

I.C.15.a.4. Selection of Trimester for Inpatient Admissions that Encompass More than One Trimester

This new guideline for selection of trimester for inpatient admissions that encompass more than one trimester is applicable for those situations in which a patient is admitted to the hospital for pregnancy complication(s) during one trimester and remains in the hospital into a subsequent trimester. In this situation, the trimester character for the antepartum complication code should be assigned based on the trimester when the complication developed, not the trimester of discharge. If the condition developed prior to the current admission/encounter or represents a pre-existing condition, the trimester character for the trimester at the time of the admission/encounter should be assigned.

Comments (1)
Posted By Melanie Witt on 03-16-2018, 14:10:03
You are confusing weeks gestation with trimester. Anything over 28 weeks 0 days to delivery is third trimester so the gestational dates you have indicated both fall into the third trimester.
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