Ob-Gyn Coding Alert
Patient Fears Pregnancy? Not a Medical Condition
Question: I have a patient who wants a tubal ligation due to her phobia of getting pregnant. The doctor calls it cyesophobia or tocophobia. Either way, I cannot find a diagnosis code. What should I use? Answer: The tubal ligation is still an elective procedure. The ob-gyn is not performing it for a medical condition (her fear is not a -medical- condition). Therefore, you-ll still use V25.2 (Encounter for contraceptive management; sterilization). Optionally, you can assign a code from the mental health chapter (300.29, Other isolated or specific phobias), but the payer is not going to care one way or the other. If she has coverage for a tubal, they will pay; if not, they won-t, and she will have to pay for the procedure. It all comes down to coverage.
Rhode Island Subscriber
Ob-Gyn Coding Alert
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4 Answers Gauge Your Repeat Pap Smear Coding Success
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Apply This Implanon Insertion Advice
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Patient Fears Pregnancy? Not a Medical Condition
Question: I have a patient who wants a tubal ligation due to her phobia of [...] - Reader Questions:
Here Are Your Options for Post-Hysterectomy Exam
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Find the Key to Gartner Duct Cyst Procedure
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Place of Service Does Matter
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Observe This OB Problem Visit Solution
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Patients Without Coverage Responsible for Payment
Question: A young patient wants to meet the doctor to discuss birth control or sexually [...]
