Ob-Gyn Coding Alert
Stop Thinking of 646.83 As Your Pregnancy Complication Catch-All Code After Oct. 1
You’ll need to specify trimester for all of these conditions.
Pregnant patients may present to a provider with conditions complicating her pregnancy. These might include low weight gain, herpes gestationis, exhaustion/fatigue, or some other condition not found in your coding manual.
Currently, you would report 646.83 (Other specified complications of pregnancy; antepartum condition or complication).
ICD-10-CM Codes: However, all that changes when your diagnosis system changes October 1. Here are your new more specific options:
ICD-10-CM Change: No longer should you look to 646.83 as a catch-all code to use when a patient comes in with a symptom that is the result of her being pregnant. When ICD-10 implementation date rolls around, you’ll have a variety of more specific options from which to choose.
Documentation: Notice how these conditions range from low weight to herpes to exhaustion and fatigue. Check your physician’s notes for the specific complication and trimester (which is usually already stated).
Here’s how you’ll find these codes in the Alphabetic Index:
Herpes, herpes virus, herpetic B00.9
Pregnancy (childbirth) (labor) (puerperium) —see also Delivery and Puerperal
Coding tips: Do not let the difference between O99.89 (Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium) and O26.89x confuse you. Code O99.89 is one of 648.93 (Other current conditions classifiable elsewhere of mother antepartum)’s equivalents. You would use this code for conditions she has developed while pregnant (but not due to the pregnancy) or had before her pregnancy that does not have a specific code. The codes listed above pertain to conditions related to pregnancy. In other words, she would not have them were she not pregnant.
- gestational, gestationis O26.4-
Ob-Gyn Coding Alert
- News You Can Use:
Want to Avoid Scrutiny? Consider These Eight Ob-Gyn 2014 OIG Work Plan Hot Spots
The items the Work Plan outlines go beyond the typical E/M issues. This year, you’ll [...] - Obstetrics:
Go Beyond 59400 and Add Complication Visits To the Global Ob Package
Hint: You can report complications before or after delivery. You can receive increased reimbursement when [...] - You Be the Coder:
CCI Versus CPT® Rules
Question: I used the Correct Coding Initiative (CCI) edits checker tool and entered 2 CPT® [...] - ICD-10:
Stop Thinking of 646.83 As Your Pregnancy Complication Catch-All Code After Oct. 1
You’ll need to specify trimester for all of these conditions. Pregnant patients may present to [...] - Reader Question:
Medicare Accepting Revised 1500 Form As of January 2014
Question: How will the CMS 1500 form change to allow ICD-10 reporting? Vermont Subscriber Answer: The [...] - Reader Question:
6 Questions Help You Confront PHI Risk
Question: I’m always concerned about protecting our patients’ health information, especially if they receive care [...]
