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JustCoding News: Outpatient, March 7, 2012

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How would you code the following in CPT®:

A patient comes into the ED in premature labor at 23 weeks and delivers in the ED attended only by the nurse due to precipitous delivery. When the ED physician arrived the OB patient was bleeding from retained placenta. ED physician attempted to deliver placenta by massage but was unsuccessful. On call OB/GYN was called and performed a suction dilatation and curettage (D&C) on the patient to remove the placenta. The obstetrics (OB) patient was admitted as an inpatient. The preterm infant died shortly after birth. Would you code vaginal delivery (59409) for the ED physician and 59160 (postpartum D&C) for the OB/GYN? Or would you code an evaluation and management for the ED Physician and 59160 and 59430 (postpartum care only) for the OB/GYN? I am coding for the hospital not the physician.

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