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Wiki fetal demise prior to 20 weeks

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nld1010

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Reading this forum...I get conflicting ways of how to correctly bill a fetal demise with vaginal delivery (cytotec used) prior to 20 weeks.
Some say to use 59855/59866 and may need send letter of appeal
Others says bill hospital visits only if surgical mgmt was not done (59820/59821) since a vaginal delivery can be billed only after 20 weeks
Please advise of correct way to bill this

Thank you,
Nicole Dallas, RMC
 
I agree. There is a lot of conflicting information on how to code a fetal demise with vaginal delivery (cytotec used or not used) prior to 20 weeks. Anyone have an answer?
 
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