CCO Admin asked:
Hi I am having a time here with coding a Pregnancy. Ok the pt is having Mono/Dia twins with DVT; She also has HTN; High Cholestral and is High Risk Now how many codes can I use from Chapter 15. And she is 14 and 1/2 weeks.It has been awhile since I coded a pregnancy and I am new to start with this is a practice question i found thank you
Answer:
* This is a fun one. From the start. Yes; all of these dx will contribute to her condition so you are going to code them. I may have to post this in several parts so forgive me.
*
Hi I am having a time here with coding a Pregnancy. Ok the pt is having Mono/Dia twins with DVT; She also has HTN; High Cholestral and is High Risk Now how many codes can I use from Chapter 15. And she is 14 and 1/2 weeks.It has been awhile since I coded a pregnancy and I am new to start with this is a practice question i found thank you.
*
The DVT makes everything important. HTN; and High Cholesterol will contribute to the DVT which puts the pregnancy at risk. From what you have given me so far I am looking at something like this:
*
O30.032 - Twin pregnancy; monochorionic/diamniotic; second trimester
*
O22.32 - Deep phlebothrombosis in pregnancy; second trimester
*
Use additionalcode to identify the deep vein thrombosis (I82.4-; I82.5-; I82.62-. I82.72-)
Use additionalcode; if applicable; for associated long-term (current) use of anticoagulants (Z79.01)
*
I10 - Essential (primary) hypertension
*
E78.5 - Hyperlipidemia; unspecified (But try to find out what type of lipidemia she has. There are so many and you want to be specific if you can.
*
Z3A.14 - 14 weeks gestation of pregnancy
*
Now you do not use o99.412 even though you might want to. It has an excludes and directs you to the o22.32 instead.
*
Remember! Once the baby is born everything changes. The charts separate. There always seems to be confusion there. IF WE COULD get a redacted copy of this patients encounter that would be fabulous. It is an EXCELLENT teaching moment. Appreciate your sharing it.
*
Hi I am having a time here with coding a Pregnancy. Ok the pt is having Mono/Dia twins with DVT; She also has HTN; High Cholestral and is High Risk Now how many codes can I use from Chapter 15. And she is 14 and 1/2 weeks.It has been awhile since I coded a pregnancy and I am new to start with this is a practice question i found thank you
Answer:
* This is a fun one. From the start. Yes; all of these dx will contribute to her condition so you are going to code them. I may have to post this in several parts so forgive me.
*
Hi I am having a time here with coding a Pregnancy. Ok the pt is having Mono/Dia twins with DVT; She also has HTN; High Cholestral and is High Risk Now how many codes can I use from Chapter 15. And she is 14 and 1/2 weeks.It has been awhile since I coded a pregnancy and I am new to start with this is a practice question i found thank you.
*
The DVT makes everything important. HTN; and High Cholesterol will contribute to the DVT which puts the pregnancy at risk. From what you have given me so far I am looking at something like this:
*
O30.032 - Twin pregnancy; monochorionic/diamniotic; second trimester
*
O22.32 - Deep phlebothrombosis in pregnancy; second trimester
*
Use additionalcode to identify the deep vein thrombosis (I82.4-; I82.5-; I82.62-. I82.72-)
Use additionalcode; if applicable; for associated long-term (current) use of anticoagulants (Z79.01)
*
I10 - Essential (primary) hypertension
*
E78.5 - Hyperlipidemia; unspecified (But try to find out what type of lipidemia she has. There are so many and you want to be specific if you can.
*
Z3A.14 - 14 weeks gestation of pregnancy
*
Now you do not use o99.412 even though you might want to. It has an excludes and directs you to the o22.32 instead.
*
Remember! Once the baby is born everything changes. The charts separate. There always seems to be confusion there. IF WE COULD get a redacted copy of this patients encounter that would be fabulous. It is an EXCELLENT teaching moment. Appreciate your sharing it.
*
Last edited: