Removal of Nonruptured Extrauterine Pregnancy

Intraligamentous (extraperitoneal) and intraperitoneal ectopic pregnancies, though clinically managed in a similar manner, are currently coded using two different procedure codes. Effective October 1, 1992, code 69.11, Removal of intraligamentous (extraperitoneal) ectopic pregnancy, and code 74.3, Removal of intraperitoneal embryo, have been combined into one code. The code title for code 74.3, Removal of intraperitoneal embryo, has been revised to read, Removal of extratubal ectopic pregnancy, and now includes the removal of both types of ectopic fetuses. Code 69.11 has been deleted. Additionally, subcategory 66.0 has been revised to differentiate between the two methods...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a procedural coding update for nonruptured extrauterine pregnancy, focusing on how related gynecologic surgery codes were revised and consolidated. It is relevant for coders, billers, and HIM professionals working with obstetric, gynecologic, and surgical procedure coding. The guidance discusses the affected ICD procedure code set, the revised subcategory structure, and the effective date of the change.

Why This Topic Matters

Coding changes for ectopic pregnancy procedures can affect code selection, historical code mapping, and claims accuracy when reviewing records from the transition period. Understanding the revised procedure code structure helps support consistent reporting and avoids confusion when older and newer code versions appear in documentation.

Article Sections

  1. Coding change for ectopic pregnancy removal

    Introduces the procedure coding update and explains that related approaches to ectopic pregnancy removal were reassigned within the procedure code system. It also notes the effective date of the revision.

  2. Revised procedure code structure

    Summarizes the affected ICD procedure code areas and the updated organization of the subcategory for removal procedures. The section presents the code set changes at a high level.

  3. Removal method and related coding references

    Describes the procedural context for different removal methods and references linked procedure coding categories. It focuses on the general relationships among the affected codes without providing decision guidance.

What You Will Learn

  • The scope of the ectopic pregnancy procedure coding change
  • Which procedure code areas were revised or consolidated
  • How the article frames the affected obstetric and gynecologic procedure categories
  • The effective date associated with the update

Who Should Read This

  • Medical coders
  • Coding auditors
  • HIM professionals
  • Obstetric and gynecologic surgery billing staff

Codes Discussed

  • ICD-9-CM: 69.11
  • ICD-9-CM: 74.3
  • ICD-9-CM: 66.0
  • ICD-9-CM: 66.01
  • ICD-9-CM: 66.02
  • ICD-9-CM: 69.1
  • ICD-9-CM: 66.62

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