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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.
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.
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