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ObGyn Coding Deliver Postpartum V Codes With Care by Suzanne Leder
Bonus: Get exposure to ICD10 coding equivalents ,aspartame supplier
Question: A mentallyretarded patient who delivered at home was admitted to the hospital for postpartum care. She delivered the placenta at home,L-Proline, and once she was admitted,Maltol, there were no complications. However the obgyn did perform a first degree laceration repair. I am not sure what diagnosis code to go for. Should I take a look at routine postpartum care or pregnancy complications And in case I use a complication code, what would the fifth digit to a 1 or 0
Answer: Under most situations where the obgyn treated no problems during the admission, you would have to go for code V20 (Postpartum care and examination; immediately after delivery) on the admission date and V22 ( Routine postpartum followup) for any subsequent routine care.
However in this case, your physician also repaired a first degree laceration (CPT code for 59300,monohydrochlorid, Episiotomy or vaginal repair,6155-57-3, by other than attending physician). As such,E501, you may consider this to be an admission for a postpartum condition and instead go for 6604 (First degree perineal laceration). The fifth digit cant be 1 or 0 as the patient delivered before her admission and of course you know her delivery status. The fifth digit must be 4 in this case to indicate a purely postpartum condition. Optionally you may report V20 and V22 as your secondary diagnoses, however theyre not required in this case.
ICD10: In the immediate future,Vitamin E Manufacturer, you will replace ICD9 codes V20 and V22 with ICD10 codes Z30 (Encounter for care and examination of mother immediately after delivery) and Z32 (Encounter for routine postpartum followup),L-Leucine, respectively. Code O70.0 (First degree perineal laceration during delivery) will replace 660
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11.01.2012 (5046 días)
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