If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
If a patient has had a gastric bypass in the past and is now pregnant, would you code that as V45.86 (bariatric surgery status) or 649.2x? The physician has not entered a note stating this is NOT complicating her pregnancy.
You must use the pregnancy code as the provider has not stated it is not a complication nor will he as this is definitely a complicating factor. So 649.23 is the correct choice