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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

CPT code Lysis for Vaginal Atresia w xylocain

I was wondering if the provider can charge for the manuel lysis of vaginal atresia. His note stated "2% xylocain Injected + finger used to dilate/ to cervix" This appears as all he did no cutting. The only code I can find is 56441 this seems to be "surgery" with a 10 day global. Any idea of how to charge this or would it fall under the E/M code?
Thanks

Medical Billing and Coding Forum

Procedure code for Vaginal Prometrium 200 mg tablet

We are needing a procedure code to do a prior authorization with insurance for this rx. It would be ordered through the pharmacy, but the pharmacy does not use procedure codes. I cannot find prometrium or progesterone other than medication given by injection. We can always use an unlisted code, but would rather avoid that.

Medical Billing and Coding Forum

laparoscopic assisted vaginal hysterectomy: 00840 or 00944?

If a patient has a laparoscopic assisted vaginal hysterectomy, which anes CPT would you use? One opinion is that if the work is done abdominally, it should be 00840. Another oppinion would be even if work done abdominally, if spec is removed vaginally, then 00944 is billed.

Medical Billing and Coding