Wiki Second trimester fetal demise

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malfordmd

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Patient present to ER with bleeding in pregnancy Ultrasound showed a fetal demise. She was admitted to L&D and after a bedside confirmation ultrasound by my doctor in addition to two official ultrasound. patient had elective induction and delivered the following day vaginally. She went home 12 hours later. How do I code for the delivery?
 
Delivery only 59409 and then O60.13x0 and Z37.0 for stillborn. This has worked for me in the past. Good luck.
 
How many weeks was the patient? If before 20 weeks, you would not code a delivery. After 20 you can use the delivery code. Also there are ICD-10 codes for fetal demise. Before 20 weeks O02.1 and after 20 weeks O36.4xxx (needs 7th character).
 
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Kholloway said:
Delivery only 59409 and then O60.13x0 and Z37.0 for stillborn. This has worked for me in the past. Good luck.
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After 20 weeks 0 days you would report 59400-59515 pending delivery. The dx is O36.4XX with appropriate 7th character Z37.1 Still Born and Z3A. weeks gestation.
 
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