Ob-Gyn Coding Alert
648.44 Can Apply to Miscarriages
Question: My ob-gyn saw a new patient as a follow-up from the emergency department (ED) and reported a diagnosis of post-miscarriage. I asked him about the patient's symptoms, and he said depression mixed with anxiety, not medical complications following the miscarriage. Should I use V65.4? Answer: If the reason for the visit was to discuss the depression, you should use 648.44 (Mental disorders; postpartum condition or complication) for postpartum depression. This code can apply to mothers who have miscarried or those who have delivered a baby at any time. - The answers for Reader Questions and You Be the Coder were provided by Melanie Witt, RN, CPC, MA, an ob-gyn coding expert based in Fredericksburg, Va.
California Subscriber
Code V65.4x (Other counseling, not elsewhere classified) requires a fifth digit for the type of counseling. This code would not be appropriate in this case since she is having complaints.
Ob-Gyn Coding Alert
- CPT 2005:
Get Ready for New Debridement, Vaginal Repair Codes
Better documentation guidelines help you report nonpregnant uterus ultrasounds
If your ob-gyn performs a debridement of [...] - Keep Track of Prenatal Care With Category II Codes
CPT 2005 also renumbers 6 older codes
If your practice wants to itemize all initial prenatal [...] - Sperm Evaluation Joins Ranks Of Category III Codes
Don't forget about 0071T, 0072T and 0074T
Beginning Jan 1, you'll have a new Category III [...] - You Be the Coder:
Unravel Cervical Dysplasia Confusion
Question: I know that new diagnosis codes are in effect as of Oct. 1, 2004. [...] - New Appendix Guides BRCA 1 and 2 Testing
If your ob-gyn practice performs genetic testing for the BRCA 1 and 2 mutation, you'll [...] - Reader Question:
51741 Versus 51795 for Urodynamic Testing
Question: Should I use 51741 or 51795 for a void study?
Montana Subscriber Answer: Urodynamic testing [...] - Reader Question:
Try Reporting 99070 for Catheter
Question: Is there any code to report for the catheter separately from the urodynamics study? [...] - Reader Question:
Report Amnioinfusion With Delivery
Question: Is there any way to report a scalp electrode or amnioinfusion with delivery?
Illinois Subscriber [...] - Reader Question:
Code Intrathecal Injections During Delivery
Question: How should I code intrathecal injections done during delivery? I'm confused by anesthesia by [...] - Reader Question:
Cannot Use V72.40 if Pregnancy is Known
Question: How should I code a patient who came in for a pregnancy test when [...] - Reader Question:
76942 With Amnio Needs No Modifier
Question: When my ob-gyn performs an amniocentesis in our facility using our equipment, I report [...] - Reader Question:
Only Code What You Know at End of Visit
Question: We code our Pap smears, HPVs, colpo's and LEEPs with the diagnosis that has [...] - Reader Question:
Use 58999 for Takedown of a Sling
Question: How should I code a Burch takedown?
Michigan Subscriber Answer: Your ob-gyn likely did a [...] - Reader Question:
648.44 Can Apply to Miscarriages
Question: My ob-gyn saw a new patient as a follow-up from the emergency department (ED) [...]
