ICD 9 Codes 2011 Where You Need To Brush Up

ICD 9 Codes 2011 Where You Need To Brush Up

We are past October 1, 2010, which means it's time to apply the new 2011 diagnosis codes affecting your ob-gyn practice. The new diagnosis codes include new uterine anomaly, placenta, and personal history diagnoses. So are you geared up for all the ICD-9 2011 changes? Here are a couple of scenarios to help you in your understanding:

Ob-gyn coding scenario 1:

The ob-gyn delivers dichorionic/diamniotic twins vaginally. Post October 1, how should you report this?

You would go for 59400 (Routine obstetric care including antepartum care, vaginal delivery [with or minus episiotomy, and/or forceps] and postpartum care) for the first baby and 59409-51 (Vaginal delivery only [with or minus episiotomy and/or forceps]; Multiple procedures) for the next. In order to support these CPT codes, you would link each to 651.01 (Twin pregnancy; delivered) and add a secondary diagnoses of V91.03 (Twin gestation, dichorionic/diamniotic [two placentae, two amniotic sacs]) and the outcome code V27.2 (Twins, both liveborn).

Did you know? You will find similar V codes for triplet gestations (V91.10-V91.19), quadruplet gestations (V91.20-29), and other unspecified multiple gestations (V91.91- V91.99)?

Scenario 2: A patient presents on September 30 for a follow-up to a bicornuate uterus, which the ob-gyn surgically corrected six months ago. What should you report here?

Had this visit taken place post October 1, you would have to code it differently. To put it plainly, as the patient is no longer in the postoperative period and she's not presenting for aftercare, new code V13.62 would adequately explain the reason for the visit. However this took place before October 1. Therefore, you can report only V67.09, which is not as specific.

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