For a patient who had a fetal demise at 20 5/7 weeks due to fetal abnormalities and oligiohydraminos Cytotec was used for induction and still born fetus delivered and patient was brought to the OR for retained placenta. Would you bill the 59410 Vaginal delivery with post partum care and the 59414-removal of placenta? ACOG guidelines say after 20 weeks use delivery code and ICD-9 defines it as 22 weeks. I think it should be delivery code with fetal demise 656.41 code and 59414- with 667.04 code. Would like other coder opinions.