Vangie Posted Wed 16th of March, 2011 21:09:42 PM
what is the code for a OB-GYN patient, pregnant at 7 weeks.
Impression: she has history didelphys, with double cervix, and double vagina and septated uterus. The septated uterus was removed at time of her last cesarean section.
What is the difference between:
656.53 Poor fetal growth, affecting managment of mother, antepartum.
649.63 Uterine size date discrepancy, antepartum.
Help me differentiate these two codes. Thank you.
SuperCoder Answered Sun 20th of March, 2011 15:58:31 PM
For the first case: I would code V23.49 unless any abnormality is noted at the present visit.
For the 2nd example:
656 category: Other "known or suspected fetal and placental problems" affecting management of mother:If the fetus appears larger or smaller than normal in relation to the EDC, then 656.53 (Poor fetal growth, affecting management of mother; antepartum condition or complication) or 656.63 (Excessive fetal growth affecting management of mother antepartum).
649 category: Other conditions or "status of the mother" complicating pregnancy, childbirth, or puerperium:
The first trimester bimanual exam, initial auscultation of fetal heart tones, assessments of fundal height, and reported date of quickening are the parameters in the context of establishing gestational age. To check for size/date discrepancy that the ob-gyn does not rule out, the code is 649.63 (Uterine size date discrepancy; antepartum condition or complication).