decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 11 (November)
Use 58120 for D&C 90 days after terminated pregnancy
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Article Overview
This article discusses coding considerations for a repeat dilation and curettage performed after a terminated pregnancy, with emphasis on Medicare postpartum timing rules and how those rules affect whether the service is treated as obstetrical or nonobstetrical for reporting purposes. It is intended for medical coders, billing staff, and compliance professionals who work with obstetrics, gynecology, and payer policy interpretation.
Why This Topic Matters
Timing rules can change how similar procedures are classified for reporting, so understanding the applicable payer framework helps support consistent claim submission and reduce coding errors.
What You Will Learn
- How postpartum timing affects classification of a repeat procedure after pregnancy termination
- How Medicare timing guidance is used in the coding discussion
- Why payer policy can affect whether a procedure is considered obstetrical or nonobstetrical
- Which broad reporting category is discussed for the repeat service
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- OB/GYN practice administrators
Codes Discussed
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