tci ED Coding & Reimbursement Alert - 2006 Issue 10

Reader Question ~ Placenta Delivery May Result in E/M Payment

Question: A woman arrives at the ED having already delivered a baby. Our ED physician conducts a history and physical on the patient after delivering the placenta. Notes indicate a level-two E/M service, but I don't know if the E/M is separately reportable in this case. What should we report?Michigan Subscriber Answer: If the physician provides the postpartum care follow-up (hospital and office visits following delivery), you can report a pair of codes. This is not common in the ED; more likely, you would report an ED E/M. On the claim:- report 59414 (Delivery of placenta [separate procedure])...

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