merandacancilla
Networker
Hi Everyone: I am new to coding OBGYN and am looking for some guidance on coding of GBS Bacteriuria in a pregnant patient.
I don't have a whole lot of information to go on from the note.
Visit Notes:
Pt Denies LOF, VB. Reports GFM and having CTX but nothing worth timing. Also having lots more swelling in her feet, ankle's, and legs she is very concerned with the swelling and high blood pressures. GBS needs done today. Overall feeling ok. Labs were completed and WNL for GHTN. Plan for IOL- scheduled for 37 weeks.
A/P:
(1) 36 weeks gestation of pregnancy:
Z3A.36 - 36 weeks gestation of pregnancy
(2) Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester:
O13.3 - Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester
(3) Group B streptococcal bacteriuria:
R82.71 - Bacteriuria
I don't think R82.71 is the correct code for this.
I was thinking Z22.330-Carrier of Group B Streptococcus
or maybe
O99.820- Streptococcus B carrier state complicating pregnancy
I did query the provider and she suggested B95.1- Streptococcus, group B, as the cause of diseases classified elsewhere
It doesn't say this is an active Urinary Tract Infection anywhere in the note so I am hesitant to use O23.43- Unspecified infection of urinary tract in pregnancy, third trimester
Any help would be greatly appreciated!
I don't have a whole lot of information to go on from the note.
Visit Notes:
Pt Denies LOF, VB. Reports GFM and having CTX but nothing worth timing. Also having lots more swelling in her feet, ankle's, and legs she is very concerned with the swelling and high blood pressures. GBS needs done today. Overall feeling ok. Labs were completed and WNL for GHTN. Plan for IOL- scheduled for 37 weeks.
A/P:
(1) 36 weeks gestation of pregnancy:
Z3A.36 - 36 weeks gestation of pregnancy
(2) Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester:
O13.3 - Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester
(3) Group B streptococcal bacteriuria:
R82.71 - Bacteriuria
I don't think R82.71 is the correct code for this.
I was thinking Z22.330-Carrier of Group B Streptococcus
or maybe
O99.820- Streptococcus B carrier state complicating pregnancy
I did query the provider and she suggested B95.1- Streptococcus, group B, as the cause of diseases classified elsewhere
It doesn't say this is an active Urinary Tract Infection anywhere in the note so I am hesitant to use O23.43- Unspecified infection of urinary tract in pregnancy, third trimester
Any help would be greatly appreciated!