Anesthesia Coding Alert
Coding for Heterotrophic Pregnancy
Question: How should I code a heterotrophic pregnancy? This was a nine-week twin pregnancy with one fetus intra-uterine and the other attached to an ovary. The procedure began as a diagnosticlaparoscopy and converted to laparotomy and right salpingo-oophorectomy. New Mexico Subscriber Answer: These are considered ectopic pregnancies, so use a diagnosis of 633.21 (Ovarian pregnancy with intrauterine pregnancy). These pregnancies usually end in abortion unless the ectopic pregnancy is surgically removed. If an abortion occurs, you should also code for any postabortion complications that might occur. Code the anesthesia for the laparotomy and salpingooophorectomy as 00840 (Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified) or surgical code 58720 Salpingo-oophorectomy, complete or partial, unilateral or bilateral [separate procedure]). Do not code separately for the laparotomy because the salpingooophorectomy is the higher-based procedure, and you're billing for it.
Anesthesia Coding Alert
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Coding for Heterotrophic Pregnancy
Question: How should I code a heterotrophic pregnancy? This was a nine-week twin pregnancy with [...] - READER QUESTION:
Buttock Pain Diagnosis Depends on Site
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Learn to Report Fluoro Codes Correctly
Question: Can I bill fluoroscopy codes together (such as 76000 for the amount of fluoroscopy [...] - READER QUESTION:
Injury Determines Torn Tendon Diagnosis
Question: Which diagnosis code applies to "torn peroneus longus and brevis tendon, right foot"? Ohio [...] - READER QUESTION:
Get Details on Post-Op Pain Management
Question: How should I code postoperative management when the CRNA's notes read, "Post-op pain management [...] - READER QUESTION:
Know Reason for Pectoralis Repair
Question: How should I code anesthesia during pectoralis repair? Maine Subscriber Answer: If the physician [...]
