kparker1980
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Hi everyone
I am butting heads with my providers regarding a coding issue, surprise surprise right? LOL. Anyway, I have been going back and forth about this issue with them for weeks now, and I really need some form of concrete documentation to bring back to them. I do OBGYN coding and I code for 5 or so different providers. One of my providers keeps using code Z30.8 and putting the description as "Surveillance for birth control, vasectomy". She is trying to code for the patient using her partner's vasectomy as her form of birth control. These codes are mostly being used on annual GYN encounters. I tried to explain that this code cannot be used on the patient's encounter because it is not HER vasectomy, it is her partner's and that it is NOT a form of contraceptive. I explained that the definition of contraception is "a device or drug serving to prevent pregnancy". The provider keeps stating that his vasectomy is the patient's contraception. In the real world I understand where she is coming from, obviously someone that is married and their husband has a vasectomy, is going to feel that they don't need to use any form of birth control. That's fine, but from a coding standpoint, I don't agree that we should be documenting this as her contraception when HE is the one that had the surgery. I think this should be left off of the encounter altogether. Can anyone please help me with this, give me some outside perspective and possibly some concrete information that I can go back to my providers with? Thank you!!
Kim P.
I am butting heads with my providers regarding a coding issue, surprise surprise right? LOL. Anyway, I have been going back and forth about this issue with them for weeks now, and I really need some form of concrete documentation to bring back to them. I do OBGYN coding and I code for 5 or so different providers. One of my providers keeps using code Z30.8 and putting the description as "Surveillance for birth control, vasectomy". She is trying to code for the patient using her partner's vasectomy as her form of birth control. These codes are mostly being used on annual GYN encounters. I tried to explain that this code cannot be used on the patient's encounter because it is not HER vasectomy, it is her partner's and that it is NOT a form of contraceptive. I explained that the definition of contraception is "a device or drug serving to prevent pregnancy". The provider keeps stating that his vasectomy is the patient's contraception. In the real world I understand where she is coming from, obviously someone that is married and their husband has a vasectomy, is going to feel that they don't need to use any form of birth control. That's fine, but from a coding standpoint, I don't agree that we should be documenting this as her contraception when HE is the one that had the surgery. I think this should be left off of the encounter altogether. Can anyone please help me with this, give me some outside perspective and possibly some concrete information that I can go back to my providers with? Thank you!!
Kim P.