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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Postpartum Care Expanded

American Rescue Plan offers new option for states to extend Medicaid and CHIP coverage to 12 months after pregnancy. Pregnant and postpartum people may now be guaranteed Medicaid and Children’s Health Insurance Program (CHIP) coverage for 12 months after pregnancy instead of the current two months of coverage. Beginning April 1, 2022, the American Rescue […]

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AAPC Knowledge Center

Postpartum Drug Challenges Medical Coders

There is a lot of excitement about a new drug for women suffering from postpartum depression, but Sage Therapeutics’ Zulresso will present challenges for medical coders, their employers, and patients. First Postpartum Depression Drug Zulresso is the first drug developed specifically for postpartum depression. Often un or misdiagnosed, postpartum depression (F33.0), affects an estimated national […]

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AAPC Knowledge Center

Postpartum hemorrhage after vaginal delivery

Patient had a vaginal delivery, 59409, and had uterine atony after the baby was delivered. Doctor performed fundal pressure and intrauterine exploration. The placenta had been delivered and then doctor gave patient Cytotec rectally twice as well as pitocin through her IV and hemabate intramuscularly.

Is the treatment for the postpartum hemorrhage included in the vaginal delivery or should that be billed separately? Which leads me to the only CPT I can find for postpartum hemorrhage is 59160 but curettage was not done.

TIA
Kam

Medical Billing and Coding Forum

Postpartum hemorrhage after vaginal delivery

Patient had a vaginal delivery, 59409, and had uterine atony after the baby was delivered. Doctor performed fundal pressure and intrauterine exploration. The placenta had been delivered and then doctor gave patient Cytotec rectally twice as well as pitocin through her IV and hemabate intramuscularly.

Is the treatment for the postpartum hemorrhage included in the vaginal delivery or should that be billed separately? Which leads me to the only CPT I can find for postpartum hemorrhage is 59160 but curettage was not done.

TIA
Kam

Medical Billing and Coding Forum

Coding scenario – postpartum mother with hydronephrosis and renal calculus

Since there is no code for "incidental postpartum status", how would you code this?

Assessment/final dx: patient is 12 days postpartum with hydronephrosis and renal calculus

The ICD-10 guidelines state: “a postpartum complication is any complication occurring within the six-week period”. It doesn’t specifically state pregnancy-related complication.

Would you code this as O99.89 & N13.2? Should coders always use the O code series when the patient is in the postpartum period?

Medical Billing and Coding Forum

Wiki Postpartum Hemorrhage?

Hello pt delivered 12/25/17 and came in today 1/8/18 for post postpartum hemorrhage. My question is what CPT do I use? MD preformed a suction D&C no dilation of cervix so I don’t think I can use the 59160. Here is part of the note:
PROCEDURE:
Graves speculum was placed. 0.3 cc of 2% Xylocaine with epi was injected into the anterior cervix. The cervix was then grasped with a single-tooth tenaculum and a paracervical block was given at 2:00, 4:00, 8:00 and 10:00 using 4 cc of 2% Xylocaine with epi. The cervix is patent to a 5 mm suction catheter attached to a 60 cc syringe. Suction curettage was performed ×1 pass and a moderate amount of tissue and blood was obtained. She tolerated the procedure well. The tenaculum was removed. There is no active bleeding at the end of the procedure in the patient denied any significant cramping.
*
Repeat transvaginal ultrasound was then performed and revealed an
Empty uterus other than small amount of fluid with the endometrial thickness now measuring 0.7 cm.

Thank you,
:confused:Erika Espinoza CPC, COBGC

Medical Billing and Coding Forum

postpartum visits

I run into a lot of situations where a women delivers and a couple days later or even a week later they come in for a checkup. Are we supposed to be charging for this or should this be a no charge visit? I know that there are postpartum codes but i was under the impression that was only for the 6 week postpartum visit.

Thanks!

Medical Billing and Coding Forum