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Induced at 16 weeks for chorioamnionitis

Bridget Posted Mon 11th of March, 2019 09:22:29 AM
What cpt codes are billed for a patient induced with cytotec at 16 weeks due to patient developing chorioamnionitis? She was admitted for pprom at 16 weeks and then developed chorioamnionitis. The infant was non-viable/demised at time of delivery. I am confused if this should be billed with 59855 or if I am to bill for separate e/m codes for each day of her admission. Also, is this considered a missed ab?
SuperCoder Answered Tue 12th of March, 2019 08:52:49 AM


As per the above mentioned documentation the appropriate code will 59855 (Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines)

If the abortion was then incomplete and required surgical intervention, 59856 (... with dilation and curettage and/or evacuation) would be reported instead.

Hospital admission and visits are inclusive in CPT 59855-59856.  

It is considered as therapeutic abortion not missed abortion.


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