You can post a question only up to 7 days from the date of the webinar.
You can continue to post comments and stay informed, compliant, and profitable.
Close
This session has expired.
Register for our upcoming webinars & continue to get coding, compliance & reimbursement updates.
Close

Post

Vote
0
0 Followers Follow
Posted By mary peabody on 07-19-2019, 20:46:39 in Ob-Gyn
How would you code a quadruplet pregnancy and one fetus demise.? When coding 031.31X_ , should the 7th digit represent the fetus that is demise or the fetus/s that are living? Example: 031.21X1, 031.21X2, 031.21X3, 030.201

Gestational age based on patient's reported EDC of 7/10/2019 is 10 weeks
Ultrasound Report: On ultrasound performed today, there is a living
triplet gestation. A fourth, nonviable fetus was noted in the upper uterus
There are 3 chorions, and 3 amnions, and the CRLs are: Triplet A: 40.4 mm, Triplet
B:41.0 mm, and Triplet C: 39.5 mm. This is consistent with her clinical
gestational age of 10 weeks 5 days and an EDC of 7/10/2019. The uterus
and cervix were unremarkable. A simple unilocular right ovarian cyst was
seen.
Comments (1)
Posted By Melanie Witt on 07-24-2019, 14:42:52
This is a very interesting question. Per ICD10 guidelines you assign the 7th digit for the affected fetus, but in the case of the O31 codes, the theme is continuing pregnancy so I would interpret this to mean you report 3 codes for each of the ones that is continuing and add a code O30.231 for the first trimester quadruplet pregnancy. Per ICD9 guidelines (but not mentioned in ICD10) a multiple gestation pregnancy with all retained is still that type of pregnancy. So even though one is no longer alive the pregnancy is still considered a quadruplet pregnancy. This would also be a very good question to ask the AHA Coding Clinic and if you don't mind, I will submit it to them for their opinion.
Do you want to remove this attachment from this post?
Yes No
Do you want to add this specialty to your selected specialty list?
Yes No
To comment, please register for any of our webinars. Click here to register for our upcoming webinars.
Close
This comment will be permanently deleted. Do you still want to continue?
Yes No
Do you want to remove this comment from this discussion?
Yes No
Do you want to block this user from participating in this discussion?
Yes No
Do you want to allow this user to participate in this discussion?
Yes No
This post will not be available for further discussion/comments if deleted. Do you still want to continue?
Yes No