Ob-Gyn Coding Alert
Use This Autoimmune Progesterone Dermatitis Code
Question: The ob-gyn diagnosed a patient with autoimmune progesterone dermatitis. Which ICD-9 code should I use?
Michigan Subscriber
Answer: This is definitely an autoimmune disorder, so your best code option for the general case is 279.4 (Autoimmune disease, not elsewhere classified).
You should also code specific skin findings. Possible coding choices include 708.8 (Other specified urticaria [includes chronic urticaria and recurrent periodic urticaria]), 695.1 (Erythema multiforme), 695.89 (Other specified erythematous conditions; other) and 702.8 (Other specified dermatoses).
On the other hand, if your physician does not document that this condition is not incidental to the pregnancy or is not complicating the pregnancy, the management of the mother or the management of the fetus, you will have to use an obstetric diagnosis code as the first listed diagnosis. In that case, you should report 648.93 (Other current conditions classifiable elsewhere, but complicating pregnancy; antepartum condition or complication), followed by 279.4 (Autoimmune disease, not elsewhere classified) and any of the other diagnoses that apply.
-- The answers for Reader Questions and You Be the Coder were provided by Melanie Witt, RN, CPC-OGS, MA, an ob-gyn coding expert based in Guadalupita, N.M.
Ob-Gyn Coding Alert
- Fine-Tune Your Twin Delivery, Ultrasound Coding With This Expert Advice
Learn what clues to look for when reporting 76811 and 76812 In the last [...] - Learn What Makes a Good Op Note -- and Correct the Bad
What to do when hysterectomy note fails to specify vaginal or abdominal
When you-re coding [...] - End Your Questions About Empire's Mammogram Policy
Find out whether this payer approves unilateral screenings One carrier has clarified the coding [...] - READER QUESTIONS:
Look to Limited Doppler for Arterial, Venous Outflow
Question: My ob-gyns looked at the arterial inflow and venous outflow (color flow) but did [...] - READER QUESTIONS:
Kick Off Blanket ABNs
Question: I recently started working at a practice that I think overuses ABNs. Can we [...] - READER QUESTIONS:
Catch This Code Combination Possibility
Question: Can I report 58561 and 58563-59 together?
Florida Subscriber Answer: Yes, you can. [...] - READER QUESTIONS:
Remember Modifier 78 With Return to OR
Question: The patient returned to the operating room for ligation of a bleeding artery after [...] - READER QUESTIONS:
Know What Constitutes a Consult
Question: If our ob-gyn only reviews patient records but doesn't actually examine the patient, can [...] - READER QUESTIONS:
Use This Autoimmune Progesterone Dermatitis Code
Question: The ob-gyn diagnosed a patient with autoimmune progesterone dermatitis. Which ICD-9 code should I [...] - You Be the Coder:
Consider Multiple Drills Destruction of Ovaries
Question: Our ob-gyn did a laparoscopy with aspiration of one ovarian cyst and then drilled [...]
