Friday, May 25, 2012

Ob-gyn coding - How to report perpetual infection?

As an ob-gyn coder, are you armed with all the ICD-9 2010 changes that will affect your practice? If so, it's high time you readied yourself for all the changes. This time, ICD-9 2010 brought new hyperplasia, mammogram, and fertility preservation codes. In some cases, these codes simply expanded on existing options, and it's up to you to spot when you should report the new versus old alternatives.


Read on to see if you can choose the proper code for services performed. If you had to choose between the following, how would you report a situation if your ob-gyn documents a perpetual infection, a bacterial illness following childbirth?


* 670.0 -- Major puerperal infection

* 670.1x [0,2,4] -- Puerperal endometritis

* 670.2x [0,2,4] -- Puerperal sepsis

* 670.3x [0,2,4] -- Puerperal septic thrombophlebitis

* 670.8x [0,2,4] -- Other major puerperal infection


This is indeed a tricky situation. Your ob-gyn must document the infection type more specifically, which means that with more information, your best options are the second and the fourth one. For these codes, you'll need to include a fifth digit. For instance, a fifth digit of 0 represents unspecified as to episode of care or not applicable. While a fifth digit of "2" means delivered with mention of postpartum condition or complication.


To keep your ob-gyn practice up to date with these ICD-9 2010 code changes, there are lots of online resources available, which are not only handy but also doesn't cost your pocket dear. So sign into one and see the difference it brings to your ob-gyn coding practice.

To keep your ob-gyn practice up to date with these ICD-9 2010 code changes, there are lots of online resources available, which are not only handy but also doesn't cost your pocket dear.

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