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14 weeks 0 days to prior to 20 weeks 0 days: 59841. 20 weeks 0 days or more by D&E: 59841-22. Induced abortion via intra-amniotic injections, with hospital admission, visits and delivery. Prior to 20 weeks 0 days gestation: 59850-59851. Can be used whether or not fetus has heartbeat prior to delivery. After 20 weeks 0 days, report maternity ...
Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus. Excludes1: failed induced abortion (O07.-) fetal death (intrauterine) (late) (O36.4) missed abortion with blighted ovum (O02.0) missed abortion with hydatidiform mole (O01.-) missed abortion with nonhydatidiform (O02.0)
Without a thorough examination of the report and surrounding context, it’s easy to mistakenly assign code 76815 when the documentation actually supports code 76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed ...
Best answers. 0. Apr 10, 2008. #1. help! OB delivery or abortion codes?? The patient had IUFD (intrauterine fetal demise) Before 22 weeks. the pt delivers fetus & placenta vaginally with help of cytotex. would i code this a delivery code (59409-59410) OR would it be the abortion codes (59850-59855). i am getting different answers from each doctor.
Induction 20 wk demise. According to ACOG, a missed abortion or early fetal death is up to and including 20 weeks. You do not use a delivery code--not that you can't if the payor accepts it, but the MORE correct coding is 59855. Cytotec (vaginal supp.)were used to induce labor and the expulsion of the dead fetus (baby).
Includes: the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy. Excludes1: encounter for suspected maternal and fetal conditions ruled out (Z03.7-) placental transfusion syndromes (O43.0-) Excludes2: labor and delivery complicated by fetal stress (O77.-)
Since delivery was before 20 weeks gestation the coding department cannot code a delivery code (59400-59410) per CPT and ACOG guidelines. Although 59855 states abortion, there is a difference between therapeutic and elective. As supported with the attached documentation. This was a therapeutic abortion.
Induced — Expulsion of the fetus and products of conception brought on purposefully by drugs or mechanical means. Inevitable — Characterized by rupture of the membranes in the presence of cervical dilation in a previable pregnancy. Missed — Death of the fetus in utero prior to 22 weeks, with retention of the products of conception
ICD-10-CM code O02.1 Missed abortion defines fetal death before completion of 20 weeks gestation with retention of dead fetus. Similarly, ICD-9-CM code 640 Hemorrhage in early pregnancy is defined as hemorrhage before completion of 22 weeks; ICD-10-CM category O20 defines hemorrhage before completion of 20 weeks gestation.
Missed — Death of the fetus in utero prior to 20 weeks, with retention of the products of conception. Septic — An infectious abortion complicated by fever, endometriosis or parametritis. Spontaneous — An abortion that has not been induced artificially. This term is usually limited to pregnancies of less than 20 weeks gestation.