tci ED Coding & Reimbursement Alert - 2003 Issue 9

Deliver Pregnancy Ultrasound Payment That's Anything but Routine

Nix Certain US Codes When Patient Presents in ED You know the routine: A pregnant patient enters the emergency department (ED) complaining of abdominal pain or vaginal bleeding, and the doctor performs an ultrasound (US). You apply obstetric or pelvic US codes, but you don't get paid squat. To avoid this scenario, find out why the doctor ordered the procedure so you'll know which diagnosis code to choose before you apply routine US codes, says Melanie Witt, RN, CPC, MA, an independent ob-gyn coding and documentation educator based in Fredericksburg, Va. Diagnosis Reveals OB or Routine Codes If the...

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