AHA Coding Clinic® for ICD-9 - 2010 Issue 2; Ask the Editor

Elective Termination of Pregnancy via KCl Injection Secondary to Fetal Anomalies

The patient is 24-5/7 weeks pregnant and presents to the hospital for elective termination of pregnancy due to lethal fetal anomalies. Under ultrasound guidance potassium chloride (KCl) was injected into the fetal heart with cessation of fetal cardiac activity. The patient was then induced with laminaria, followed by Foley bulb and Pitocin. The fetus was expelled spontaneously without complication. Should code 656.4X, Intrauterine death, be assigned since the pregnancy had advanced beyond 22 weeks? What are the appropriate diagnosis and procedure code assignments? ...

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