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Ob-Gyn Coding Alert

READER QUESTIONS:

Attach This ICD-9 Code for Karyotyping Amnios

Published on Wed Nov 18, 2009

Question: A patient presents to our office for karyotypic via amniotic fluid. What ICD-9 should I use? California Subscriber Answer: You should report V28.0 (Screening for chromosomal anomalies by amniocentesis) if your physician is performing the karyotyping to screen for chromosomal anomalies. Important: An amniocentesis is not a routine test, however. An ob-gyn usually orders this test only when the patient has a strong history of problems or has a current abnormal finding. Therefore, V28.0 may not be your primary diagnosis. For instance, if the patient has a past history that is leading the patient to have the amniocentesis, you should use a V23 (Supervision of high-risk pregnancy) code. Or maybe the patient had a positive AFP result? Usually, if the patient has an abnormal alpha-fetoprotein, that would be reason for doing the amniocentesis. You should code this by reporting 655.13 (Known or suspected chromosomal abnormality in fetus; antepartum condition [...]
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