Ob-Gyn Coding Alert
Look to Similar Codes When You Have None
Question: How should I report manual evacuation of blood clots to treat a postpartum hemorrhage? The patient returned to the operating room after delivery, and the ob-gyn performed a pelvic exam with a speculum, a bimanual exam, and clot removal. Answer: You won't find any good code for this procedure. You might choose 59160 (Curettage, postpartum), but this service normally involves suction curettage to remove products of conception.
California Subscriber
What your ob-gyn did was much simpler, so you may more accurately report the procedure as 57410 (Pelvic examination under anesthesia). You should add modifier 78 (Return to the operating room for a related procedure during the postoperative period) to this code because the ob-gyn took the patient back to the operating room and completed the previous delivery.
Ob-Gyn Coding Alert
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Look to Similar Codes When You Have None
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Georgia Subscriber
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