Hello OB/GYN Group,
Baby A delivered alive at home. This was inevitable due to previous rupture and already known cord prolapse on arrival to hospital Endo loop placed x2. Baby b still fht 155. Discussed case with mfm. Due to being monochorionic.and still at high risk of abruption and or chorio she is not a candidate for cerclage.
Pt had a vaginal exam performed after delivery of twin A. Umbilical cord clamped and cut. Endoloop placed on umbilical cord of twin A as close to cervix as possible. Afterwards, cord noted to have lengthened slightly, second endoloop placed. Remainder of umbilical cord of twin A cut. Patient tolerated procedure well. |
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My question is what CPT code would capture the work done for the Endo loop placement or would I bill the H&P only? Pt is 19w3d gestation and presented via EMSA after delivery of twin A at home in the setting of known previable PPROM w/ prolapsed cord of twin A for which patient was recently hospitalized for. At time of admission, pt has not delivered twin B.
Thank you so much for any suggestions advised.