Hi there!
Patient comes in for 4-5 week check, OB chart not started, patient has upt which is positive but uncertain gest age as she was nursing and through u/s you cannot see anything so they dont know how along the patient really is.
Second visit 1-2 weeks later, OB record starts and physician does another u/s to confirm if the pregnancy is normal or not (Threatend AB, Ectopic etc..) since she was nursing and doesnt have a LMP.
My question is....how do I code this second visit? I know its based off of symptom or what you know at the end of the visit. So if the end of the visit is still not know if its normal or not do we still code uncertain gest age? The Drs say they do this to rule out threatened AB but we cannot code rule out.
Thanks everyone!
Patient comes in for 4-5 week check, OB chart not started, patient has upt which is positive but uncertain gest age as she was nursing and through u/s you cannot see anything so they dont know how along the patient really is.
Second visit 1-2 weeks later, OB record starts and physician does another u/s to confirm if the pregnancy is normal or not (Threatend AB, Ectopic etc..) since she was nursing and doesnt have a LMP.
My question is....how do I code this second visit? I know its based off of symptom or what you know at the end of the visit. So if the end of the visit is still not know if its normal or not do we still code uncertain gest age? The Drs say they do this to rule out threatened AB but we cannot code rule out.
Thanks everyone!