Ob-Gyn Coding Alert
Ruptured Membranes
Michigan Subscriber
Answer: If you are trying to bill for an incomplete abortion (because the patient already has ruptured membranes) the correct code is 59812 (treatment of incomplete abortion, any trimester, completed surgically). If she was also given prostaglandin to help complete the abortion after the membranes ruptured, that would be coded additionally with 59200-59-51 (insertion of cervical dilator [e.g., laminaria, prostaglandin], -distinct procedural service, -multiple procedures). It is incorrect to bill a 16-week pregnancy as a delivery and you could only use 59160 (curettage, postpartum) only after a delivery or after the physician assumed that all products of conception had been expelled, but were later found to still be present and creating a problem.
Ob-Gyn Coding Alert
- Select the Right Diagnosis to Code Rape Exams Accurately
Coding for rape or sexual abuse exams is a relatively straightforward process. But selecting the [...] - Code Correctly for Post-hysterectomy Complications
Total abdominal hysterectomy (58150) is a common gynecological surgery that requires postsurgical follow-up. For complications [...] - You Be the Coder:
Hysteroscopy
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Reader Question:
Amniotic Fluid Check
Question: What is the diagnosis code for an amniotic fluid check? The patients previous diagnosis [...] - Reader Question:
Co-surgeons
Question: When is it appropriate to bill for co-surgeons, versus surgical assistants?
Florida Subscriber
Answer: It [...] - Reader Question:
Antepartum Care
Question: At my hospital-affiliated family practice clinic the physicians often take care of antepartum care [...] - Reader Question:
Laparotomy
Question: One of my physicians did a laparotomy and bilateral ovarian cystectomies on a patient [...] - Reader Question:
Ovarian Drilling
Question: My physician did a laparoscopic cystectomy with right ovarian drilling for polycystic ovaries. What [...] - Reader Question:
Mastitis
Question: Is an office visit for postpartum mastitis (a complication of the postpartum period) on [...] - Reader Question:
Laminaria Insertion
Question: When the physician does a laminaria insertion prior to surgery to dilate the cervix, [...] - Reader Question:
Injections
Question: When our nurses give injections (e.g., Depo Provera for contraception) without a physician present, [...] - Reader Question:
Ruptured Membranes
Question: Can I bill for a prostaglandin induction for ruptured membranes at 16 weeks delivered [...] - Reader Question:
Transvaginal Hysterectomy
Question: How do I code for a laparoscopically assisted transvaginal hysterectomy and endometrial ablation?
Florida Subscriber
[...] - Reader Question:
Well-woman Care
Question: We have billed Medicare for well-woman care (using G and Q codes), not knowing [...]
