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 04-09-2020, 11:53:58 in Ob-Gyn
Hello Melanie,

This patient did not have global care with us, she will return for postpartum, would you code this triplet delivery with 59410, 59409-51, 59409-51 with DX 060.12x0, 009.812, 031.32x0, 030.102, Z3a.20, Z37.61

_____________ is a 35 y.o. G3P0020 who presented at 20w1d IVF pregnancy, s/p multigestation reduction from triplet to singleton pregnancy at 16wks admitted on 4/7/2020 for preterm labor. Upon admission, her SVE was 0.5/0.5/-3 and she was contracting painfully. She received morphine 15mg IM and phenergan 25mg IM for pain control. She ruptured and subsequently precipitously delivered fetus, unassisted. The two demised fetuses delivered afterwards without difficulty. All fetuses appeared grossly normal. Active management of the third stage and placenta was delivered intact. Perineum was inspected and found to be intact. Abdominal ultrasound was done afterwards and uterus appeared empty with thin endometrial stripe. Sponge, lap and needle counts were correct.
Comments (1)
Posted By Melanie Witt on 04-09-2020, 15:54:10
Yes, to the delivery codes, but I would not report O31.32.0 as this is no longer a continuing pregnancy for this delivery. And as there are 3 fetuses, you really have to report o60.12x three times, with a final digit of 1, 2 and 3. I would only report o09.812 after O30.102 (again, do you not know how many placenta or amnions as this information should be available to you for more accurate coding). And yes to the Z3a and Z37 codes.
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