ED Coding and Reimbursement Alert
Reader Question:
Negotiate This Labor Scenario To Avoid An Audit Strike
Published on Tue Dec 18, 2012
Question: If a woman presents to the ED in active labor, but the baby is not delivered by the ED physician, is the correct diagnosis code 644.13?
Tennessee Subscriber
Answer: Yes, 644.13 (Other threatened labor, antepartum).Depending on the gestational age many intuitions have cut offs for patient to go fairly directly to L and D, typically around 20 weeks. If the patient simply passes through the ED with minimal to no physician interaction the professional side might not report any code as the ER is more of a conduit to the L and D unit.
Other Articles in this issue of
ED Coding and Reimbursement Alert
- NCCI Update:
Add Modifiers 24 and 57 to Your NCCI List for 2013
If you missed CMS Transmittal 1136 released Nov. 1, 2012, you’re behind the curve on [...] - Brush Up on Your NCCI Modifiers
You will recall from prior Emergency Department Coding & Reimbursement Alert updates that each NCCI [...] - Coding for ECGs:
3 Easy Steps Simplify Your Electrocardiography Diagnosis Coding
Make sure you have the clinical information for assigning the most accurate diagnosis code. To [...] - Cardioversion Tips:
Jump Start Your Cardioversion And Defibrillation Coding With These Tactics
Split these procedures apart to prevent denials. Deciphering clinical chart details to figure out how [...] - RVUs and Medicare Payments for Cardioversion and Related Codes
92960 (Cardioversion, elective, electrical conversion of arrhythmia; external) has a work RVU of 2.25 and [...] - You Be the Coder:
Paronychia I&D With E/M
Question: I have a question regarding whether to apply both the E/M code and the [...] - Reader Question:
Don't Take A Shot At A High Level Code For An Injection Only Visit
Question: We had a patient present to the ED for a tetanus shot. Another physician [...] - Reader Question:
Multi Trauma Visits Require High Decision-Making
Question: Patients who present with multiple trauma from a fall or motor vehicle accident arrive [...] - Reader Question:
Negotiate This Labor Scenario To Avoid An Audit Strike
Question: If a woman presents to the ED in active labor, but the baby is [...] - Reader Question:
Can the Attending Bill For A NP's Procedure? Give Credit Where Credit is Due.
Question: An NP employed by the hospital wants to do sutures repairs in the ED [...] - Reader Question:
Form A Line To Learn About The Femoral Line
Question: A 22-year-old motor-vehicle accident victim reports with multiple injuries and the ED physician provides [...]
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