AMA CPT® Assistant - 2007 Issue 12 (December)

Surgery: Maternity Care and Delivery (December 2007)

December 2007 page 13b Bonus Feature:Surgery: Maternity Care and Delivery Question: Would an appropriate level emergency department (ED) evaluation and management (E/M) code or code 59409 be reportable in the following scenario: Patient presented to the ED with vaginal bleeding, pelvic cramping, reportedly with passing clots and possibly tissue fragments. Pelvic examination by the ED physician revealed blood, clots, and tissue in the vaginal vault. Using forceps and gentle traction, what appeared to be a complete embryo and placenta sac (less than 12-weeks gestation) was delivered. Answer: The appropriate level ED E/M service code (99281-99285) should be reported. The...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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