tci ED Coding & Reimbursement Alert - 2005 Issue 11

READER QUESTIONS: Select Carefully for Delivery Assistance

Question: One of our physicians was called to the floor because a patient was giving birth and the baby was crowning. When the doctor arrived, the physician was only in time to clamp the cord. How should I report this?Virginia Subscriber Answer: If the documentation does not support use of the vaginal delivery code (which, in this case, it probably doesn-t), then you are left with two choices: a consult code (99251-99255) or a subsequent hospital care code (99231-99233). If you opt for a consult code, you-ll need to select the most appropriate of the following:- 99251--Initial inpatient...

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