Ob-Gyn Coding Alert
Draw the Line Between 787.01 And ICD-10-CM Code R11.2
If you think even nausea gets more specific in October 2015, you’d be right.
When a patient feels nauseous, she feels discomfort in the upper stomach and may involuntarily expel the contents of her stomach through her mouth, known as vomiting. Currently, you’ll report this with 787.01 (Nausea with vomiting).
ICD-10-CM: That changes in October 2015. That’s when you’ll shift to R11.2 (Nausea with vomiting, unspecified).
Change: You have a direct one-to-one correlation between these codes. You should use R11.2 for this symptom when ICD-10 hits.
Documentation: Your provider may document “persistent nausea with vomiting NOS.”
Be aware: You do have codes for just nausea (R11.0) and different types of vomiting without nausea (R11.1-).
Here is how you will locate this code in the Alphabetic Index:
Hyperemesis R11.10
Coder tips: Underneath the R11 category (Nausea and vomiting) you will so an Excludes1 note that forbids you from reporting any of these codes with:
- with nausea R11.2
Nausea (without vomiting) R11.0
- with vomiting R11.2
Rumination R11.10
- with nausea R11.2
Vomiting R11.10
- with nausea R11.2
Ob-Gyn Coding Alert
- Obstetrics:
Technique, Transection Method, and Delivery Unlock Your Tubal Ligation Codes
Ligations with cesarean deliveries may be an uphill battle -- here’s why. You can sort [...] - Gynecology:
Validate Your Vaginal Cuff Repair Code By Asking One Question
Keep modifier 78 handy — you may need it. To select the appropriate code for [...] - Bilateral Billing:
Overcome Modifier 50 vs. LT/RT Confusion By Researching Payer Policy
Varied policies aren’t just limited to private payers. There are many procedures that your ob-gyn [...] - ICD-10:
Draw the Line Between 787.01 And ICD-10-CM Code R11.2
If you think even nausea gets more specific in October 2015, you’d be right. When [...] - Reader Question:
Skip 99000 for In-Office UAs
Question: If we do a urinalysis (UA) dipstick test in the office lab and find [...] - Reader Question:
Avoid Denial of E/M With Flu Vaccine Administration
Question: I have been reporting flu vaccine with E/M visits and other in-office procedures. I have [...] - Reader Question:
Can You Add a Robotic Surgery Surcharge? Find Out
Question: I know that very few payers reimburse at all for S2900 (Surgical techniques requiring use [...] - Reader Question:
Pinpoint Your Pregnancy Spotting Diagnosis
Question: What is the diagnosis code for spotting when a patient is 17 weeks pregnant? Codify [...] - You Be the Coder:
Apply Modifiers to This Incomplete Abortion Scenario
Question: A patient came to the hospital with pelvic pressure and pain at 18 weeks. The [...]
