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Ob-Gyn Coding Alert

You Be the Coder:

Confront Early Glucose Testing Diagnoses

Published on Fri Jun 03, 2011

Question: At the initial ob visit, my ob-gyn does a hemoglobin A1C on all of our patients. If the test results come back elevated, what diagnosis code should I use for the early glucose testing?California SubscriberAnswer: First of all, you are doing a screening test, and per ICD-9 guidelines, your primary diagnosis is screening:V28.89 (Other specified antenatal screening) because this test is part of your antenatal screening testsV77.1 (Screening for diabetes mellitus) because your ob-gyn is testing for DMICD-10: When your diagnosis system changes in 2013, V28.89 will become Z36 (Encounter for antenatal screening of mother) and V77.1 will become Z13.1 (Encounter for screening for diabetes mellitus).If the results come back elevated (which you won't knowuntil a few days after the patient underwent the actual test), you code the result.For instance, if the A1C is less than 6.5% and a fasting glucose is between 96-126, you can then call this [...]
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