Brenda1973
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Hello, I do not have OBGYN "O code" experience. Can someone help with just basic coding of a pregnant patient with a cough. I was under the assumption that "O" codes are for complications of pregnancy and follow by the "Z" code for trimester, and trimester codes are only used on O codes. Is that correct?
In the below scenario would I code the cough (R05.9) followed by Z33.1 (pregnant state, incidental) as I don't see this as a complication to pregnancy, please advise, thanks!
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ASSESSMENT AND PLAN/MEDICAL DECISION MAKING
Diagnosis: 1. Acute cough
2. 16 weeks gestation of pregnancy
Orders and Instructions: Discussed with patient about possible causes. Patient with symptoms that have been ongoing for about 10 days. Recently with subjective fevers/chills. Symptoms worsening. Recommended in-person evaluation for lung auscultation, vitals check, and possible diagnostics. She will seek the additional care.
Follow up today (on 7/14/2024) for Urgent Care - Immediately.
Patient voiced understanding and agrees to plan. She will seek the additional care.
In the below scenario would I code the cough (R05.9) followed by Z33.1 (pregnant state, incidental) as I don't see this as a complication to pregnancy, please advise, thanks!
-----------------------------------------------------------------------------------------------------------------------------------------
ASSESSMENT AND PLAN/MEDICAL DECISION MAKING
Diagnosis: 1. Acute cough
2. 16 weeks gestation of pregnancy
Orders and Instructions: Discussed with patient about possible causes. Patient with symptoms that have been ongoing for about 10 days. Recently with subjective fevers/chills. Symptoms worsening. Recommended in-person evaluation for lung auscultation, vitals check, and possible diagnostics. She will seek the additional care.
Follow up today (on 7/14/2024) for Urgent Care - Immediately.
Patient voiced understanding and agrees to plan. She will seek the additional care.