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Ob-Gyn Coding Alert

Reader Questions:

Use '2' as Fifth Digit for Hospital Delivery

Published on Tue Mar 01, 2005

Question: What is the difference between 2 and 4 in 667.02 and 667.04?


Missouri Subscriber


Answer: The code 667.0x means Retained placenta without hemorrhage. The fifth digit of "2" in place of the "x" means the patient delivered during her hospitalization and developed a postpartum complication. The fifth digit "4" in place of the "x" means she delivered and was sent home and has now developed a postpartum complication.

Note: You can find this explanation in all ICD-9 books. Remember always to read all of the notes that surround the listing of the fifth digits.
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