Ob-Gyn Coding Alert

Question: What codes should I use for the medical treatment of an ectopic pregnancy? Also, what procedure code should I use for the excision of a suburethral diverticulum?New Mexico SubscriberAnswer: You will bill the medical treatment of an ectopic pregnancy using E/M codes, serial ultrasound, repeat HcG testing and possibly injection of Methotrexate. Therefore, you need to have the physician note that indicates the treatment done on any given day (usually over a 7-8 day period) to determine what you can bill.  The same rules apply to Methotrexate as to all injections when it comes to billing them with an E/M service. The J code would be J9260 if the dose was 50 mg, and of course, you would also bill the injection administration 96372 (Therapeutic,prophlactic,or diagnostic injection, [specify substance or drug], subcutaneous or intramuscular) if allowed by the payer. If your physician is using oral Methotrexate and supplied the drug, the code would be [...]