Hello, i found this topic in our overall OBGYN forum. But my question is slightly different. What prim dx should i use when pt comes for verification of pregnancy? it's not a part of global and we know it's payable. So, pt comes to the office, ultrasound is done, pregnancy is confirmed, we also might have a positive urine test = Z32.01- Encounter for pregnancy test, result positive.
The reason for the visit MD puts- Amenorrhea. Then MD adds dx in A/P: Anxiety, IVF etc. (O-codes since pt is pregnant). I know that for 76815 US I use Z32.01. But what is the order of dx for E/M visit? Per coding guidelines, O-code are coded first, so i cannot put prim dx : Z32.01 nor Amenorrhea. Then, I think, for insurance this E/M will look like OB visit and i am afraid they might not pay. So , how can i tell the insurance that this visit is for confirmation of pregnancy? O-codes first and then z32.01?
Thank you very much for your rational.