Coding incidental versus ectopic pregnancy
HIM-HIPAA Insider, September 8, 2009
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Q: What does an incidental pregnancy (code V22.2) mean? Is it related at all to an ectopic pregnancy (code 633.11)? Should I report the two together?
A: Coding Clinic, fourth quarter 1996, p. 50–51, states that code V22.2 is a secondary code only for use when the pregnancy is in no way complicating the reason for the visit. Otherwise, coders should report a code from the obstetric chapter.
For routine outpatient prenatal visits when no complications are present, report codes V22.0 (supervision of normal first pregnancy) and V22.1 (supervision of other normal pregnancy) as the first-listed diagnoses. Do not report these codes in conjunction with Chapter 11 codes. For more information, see Chapter 11 (Pregnancy/Childbirth) of the ICD-9-CM Official Guidelines for Coding and Reporting that took effect October 1, 2008.
Editor’s note: Alison Stangeby, RHIA, CCS, CPC, senior consultant at BKD, LLP in Little Rock, AR, answered this question that originally appeared in the August 2009 issue of Briefings on Coding Compliance Strategies.
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Related Products
-
The HIM Director's Guide to ICD-10
ICD-10 is the biggest change for the HIM industry since the implementation of DRGs in the 1980s. HIM directors must take...
-
ICD-10 Trainer
ICD-10 Trainer provides the latest news and updates related to ICD-10 regulations, and tips from HCPro experts and faculty...
-
Coding and You
Coding and You is written specifically to help non-coders; medical assistants, lab technicians, compliance professionals...
-
Coder Productivity in Today’s Environment
Insufficient staffing and lack of resources continue to plague HIM departments while they also cope with a move to...
-
Musculoskeletal Injury Coding: ICD-9-CM vs. ICD-10-CM
Orthopedic coding—in particular the musculoskeletal injury codes—will undergo some of the most significant changes in the...
Most Popular
- Articles
-
- Note from the Instructor: CMS Releases Updated -X{EPSU} Modifier Guidance?Sort Of
- Contaminated scopes led to superbug outbreak at Seattle hospital
- This week in Medicare updates
- ECRI's top 10 technology hazards have significant patient safety implications
- Q&A: Coding for influenza type A
- CMS replaces clinic E/M visit levels with single G-code
- OB services: Coding inside and outside of the package
- What does case-mix index mean to you?
- Note similarities and differences between HCPCS, CPT® codes
- Modifications to CMS’ pneumococcal vaccine policy to be implemented next week
- E-mailed
-
- Note from the Instructor: CMS Releases Updated -X{EPSU} Modifier Guidance?Sort Of
- Contaminated scopes led to superbug outbreak at Seattle hospital
- Pharmacist-led discharge program helps reduce readmissions by 46%
- Modifications to CMS’ pneumococcal vaccine policy to be implemented next week
- Charging CPR and injections or infusions with critical care
- Emergency Department Case Management: The Compendium of Best Practices, 2nd Edition
- No major surprises in 2015 OPPS final rule, but CMS makes some concessions to providers
- Three dead, dozens injured after explosion at Mexico City children's hospital
- Catch up on what's new with injections and infusions
- Battling readmissions with free food
- Searched