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Vangie Posted Tue 01st of March, 2011 00:36:51 AM

Please help with me code this diagnosis:

Screening for AFP. They have not tested the actual AFP yet.

I come up with V28.1, but this is for (RAISED ALPHAFETOPROTEIN LEVELS levels in Amniotic fluid).

What is the correct ICD9 code i can use?

SuperCoder Answered Tue 01st of March, 2011 08:35:14 AM

We can code for "Other specified antenatal screening" : V28.89

I would also want you to understand AFP screening to select the above Dx.
AFP is a protein produced by every fetus. The baby urinates it into the amniotic fluid, and it makes its way from there into the mothers blood for excretion. There is a normal range of AFP found in the mothers blood; this is determined by the age of the fetus.
A needle is placed into mother's vein and blood is drawn to take to the lab. There are up to four substances checked: alpha-fetoprotein (AFP), human chorionic gonadotropin (hCG), estriol and inhibin-A.
Done between 15-18 weeks for best results.

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