Icd 9 Fibroids
Em guides you on how effective the Code Icd to go to the OB / GYN coding
Situation: A patient come to an initial visit to OB. Some other clinic confirmed her pregnancy, but she did not receive prenatal care. She received her initial service usually OB (Order laboratory, for example), Pap smears and Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection. After discussing some problems with the patient, gynecologist ordered another pregnancy test, whose result was negative. Then he ordered an ultrasound (U.S.) that no intrauterine pregnancy. The gynecologist noted bilateral polycystic ovaries, however. In summary, the Office conducted an initial survey before the midwifery skills of a pregnancy test negative (given the documentation to confirm a positive pregnancy test). I'm not sure for the bill as a first or an office visit. What code I use for initial diagnosis?
Solution: The suggestion is that the code knows what the end of the visit. Since the patient I was not pregnant, you must declare an outpatient E / M visit (99201-99205, Office or other external assessment and management of a new patient … 99212-99215, office or other outpatient visit for the evaluation and management of an established patient …). In fact, you do not provide OB care monitor World that she was pregnant, after everything.
His final diagnosis should be 256.4 (polycystic ovaries) with V72.41 (Review a pregnancy test, negative result). According to the CPT Assistant, code such as OB ultrasound sonography (76805-76815). Therefore, you must link V72.41 ultrasound. This is what the guideline states:
"For a patient with pregnancy (Determined by any means), with signs and symptoms that may be related to pregnancy and to require an assessment pelvic ultrasound, the ultrasound Obstetrics code (s) from 76.805 to 76.815 should be noted, even if the outcome of the procedure is that the patient is not pregnant or have a diagnostic ultrasound can conclude that being independent of pregnancy (eg, acute appendicitis, ovarian fibroma torso, necrotic). "
Relationship between ICD-10: The new ICD-10 is the list of E28.2 256.4 (Polycystic Ovary Syndrome). V72.41 will be replaced by Z32.02 (Encounter for pregnancy test, negative result).
About the Author
Suzanne Leder, M.Phil., CPC, COBGC can answer your ob-gyn coding questions, as she has been the Ob-gyn Coding Alert editor for five years and counting. Also, she holds a specialty OB/GYN coding certification. Currently, she is an Executive Editor at the Coding Institute and has covered topics in cardiology, physical medicine and rehab, gastroenterology, neurology, neurosurgery, orthopedics, and otolaryngology. She has a BA from N.C. State University and an international Master’s degree (M. Phil) from Trinity College Dublin.