Would you be able to bill CPT 59414-delivery of placenta in addition to the e/m for spontaneous miscarriage at 19 weeks?
"Patient is a 25 yo G1P0 at 19 5/7 wks who presents to ER with c/o cramping and spotting. Us was done with evidence of cervical insufficiency membranes prolapsing through the cervical os. Patient then had SROM and was admitted to L and D for further observation. No FHTs noted by us on presentation to L and D. Patient progressed to deliver a non viable male infant of Apgars 0 and 0, weight 290 grams, 25 1/2 cm length. femur length 9 cm. She pushed to deliver in footling breech presentation. Legs reduced and delivered followed by arms reduced across the chest. Fetus delivered to the level of the neck and then experienced head entrapment. Cytotec 200 mcg was given and fetal head delivered. Placenta delivered complete after additional dose of 400 mcg of Cytotec. An additional 2 Cytotec were given rectally for hemorrhage prophylaxis. Ther vagina, rectum and cervix were intact. QBL 244"