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Pregnancies, First v. subsequent

So. If a patient has been pregnant twice… But the first pregnancy resulted in a miscarriage at say, 10 or 12 weeks…

Is the ‘second’ pregnancy considered a ‘first pregnancy’ (i.e. Z34.01), or a subsequent pregnancy (Z34.81), since the first
one wasn’t a ‘full’ pregnancy that resulted in a birth…

Pure logic would have me believe it’s the second pregnancy, technically, because she’s been pregnant twice, but… Here I’ve gone
and started getting philosophical, so… Anybody have any concrete knowledge on this?

Thanks in advance!

Medical Billing and Coding Forum

High risk pregnancies with more than 13 antepartum visits

Hello,

Most all of the ob/gyn docs I work for have a number of patients that are requiring more than the global 10-13 antepartum visits for their care. Whether it be for poorly controlled gestational diabetes, pre-existing dm, drug abuse, etc., how does anyone out there bill for these extra visits and get them paid successfully? Please advise.

Thank you!

Medical Billing and Coding Forum