Ob-Gyn Coding Alert

Reader Question:

Retained IUD Diagnosis Changes Based On This Factor

Question: Can I use 996.32 for a retained intrauterine device (IUD)?Nevada SubscriberAnswer: Yes, you can use 996.32 (Mechanical complicaion due to intrauterine contraceptive device) so long as the patient is not pregnant.ICD-10: This code will become T83.39xA (Other mechanical complication of intrauterine contraceptive device, initial encounter), T83.39xD (...subsequent encounter), or T83.39xS (... sequela).If a pregnant patient has a retained IUD and this condition alters the management of the pregnancy because the ob-gyn suspects this has harmed the fetus, you should use 655.8x (Other known or suspected fetal abnormality not elsewhere classified affecting management of mother ...) instead.ICD-10: The 655.8x range of codes will condense and become 035.8xx0 (Maternal care for other [suspected] fetal abnormality and damage, not applicable or unspecified).
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