Wiki Complication of pregnancy?

[Tonyj]

Patient diagnosed with prothrombin gene mutation (289.81) and is 22 weeks pregnant. Dr gave diagnosis of prothrombin gene mutation and will initiate heparin at week 36.

My question is do I code as 649.30 (coagulation defects complicating pregnancy) with 289.81 or 289.81 and V22.2? MD made no mention of it being a complication but is it safe to assume it is?

 

[monimrtin]

According to your coding guidelines, it is always a complication of pregnancy unless the doctor indicates otherwise.

 

[jbrightw]

Use 649.33 followed by 289.81 since the patient is 22 weeks pregnant (Antepartum). Any condition associated with pregnancy must be coded with Chapter 6 codes as Pdx along with additional codes of any chapter as applicable.


Brightwin