tci ED Coding & Reimbursement Alert - 2002 Issue 11

Deliver Clean Pregnancy Ultrasound Claims

It's a common emergency department scenario: The physician orders an ultrasound for a female patient with abdominal pain or vaginal bleeding. You apply routine obstetric or pelvic ultrasound codes, but they don't deliver payment. Pregnancy ultrasound coding can bring on labor pains you didn't expect. Learn its subtle nuances to ease the struggle and ensure accurate codes. When treating females with pain and bleeding, emergency physicians must distinguish between intrauterine death (e.g., 656.4 series), spontaneous abortion (634 series), ectopic pregnancy (633 series) disorders of the ovary, fallopian tube, and broad ligament such as ruptured ovarian cyst or...

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