Wiki New Ob coder needs help

[bonnies1103]

I recently started coding hospital surgeries that our Ob/GYN perform. I need some help with a case I am trying to code. If we do an induction of labor for fetal demise at 18 weeks, is that considered a delivery or do we just bill for a visit? Also, the next day she had to have a D&C for retained products of conception. Can someone please help me with coding this case?

 

[mumah265]

RE: New OB Coder Help

I would use (59821 w/dx code 632) and then I would bill out the D & C (59160w/dx code 667.10, 667.12, or 667.14). Of course, these codes depends on the specificity of the note.

Hope this helps!

 

[Cheryl A Dodge]

Cheryl A Dodge, CPC

If induction of 18 wk fetal demise was accomplished using prostaglandin such as cytotec with/without laminaria I would look at code 59855 or 59856 which also includes a D&C.

 

[bonnies1103]

Thank you both for the replies. I'm still torn on this. The 59856 would be good if it was all done on the same day. Now I'm wondering if I should use an E/M code for the first day and 59820 on the second day.