OV- confirm pregnancy

[ShannonH_42838]

Hi all,
If presenting for missed period, positive pregnancy test in clinic, what would be the primary & secondary dxs attached to the e/m?
Thank you in advance!

 

[Lori]

Pregnancy Test:

CPT Code 81025 for human chorionic gonadotropin (hCG) urine testing performed in the office should be reported on a claim any time the test is performed. The diagnosis should indicate if the test was positive or negative.

Z32.01 – Encounter for pregnancy test, result positive
Z32.02 – Encounter for pregnancy test, result negative

OBGYN free resource thread:

Resource - OBGYN Coding

15. Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A) a. General Rules for Obstetric Cases 1) Codes from chapter 15 and sequencing priority Obstetric cases require codes from chapter 15, codes in the range O00- O9A, Pregnancy, Childbirth, and the Puerperium. Chapter 15 codes have...

www.cco.community

 

[ShannonH_42838]

Pregnancy Test:

CPT Code 81025 for human chorionic gonadotropin (hCG) urine testing performed in the office should be reported on a claim any time the test is performed. The diagnosis should indicate if the test was positive or negative.

Z32.01 – Encounter for pregnancy test, result positive
Z32.02 – Encounter for pregnancy test, result negative

OBGYN free resource thread:

Resource - OBGYN Coding

15. Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A) a. General Rules for Obstetric Cases 1) Codes from chapter 15 and sequencing priority Obstetric cases require codes from chapter 15, codes in the range O00- O9A, Pregnancy, Childbirth, and the Puerperium. Chapter 15 codes have...

www.cco.community

For the office visit e/m would the primary dx be Z32.01 for the positive test (definitive dx-pregnancy confirmed) or would N91.2 missed period (reason pt presented) be more appropriate as the primary diagnosis linked to 992XX?
Thanks in advance!

 

[Lori]

N91.2
Amenorrhea, unspecified
The Provider would need to have documented Amenorrhea- is the absence of a menstrual period in a woman of reproductive age.
Amenorrhea (uh-men-o-REE-uh) is the absence of menstruation, often defined as missing one or more menstrual periods.

Primary amenorrhea refers to the absence of menstruation in someone who has not had a period by age 15.

Tests​

A variety of blood tests may be necessary, including:

• Pregnancy test. This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
• Thyroid function test. Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
• Ovary function test. Measuring the amount of follicle-stimulating hormone (FSH) in your blood can determine if your ovaries are working properly.
• Prolactin test. Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
• Male hormone test. If you're experiencing increased facial hair and a lowered voice, your doctor may want to check the level of male hormones in your blood.

Amenorrhea - Diagnosis and treatment - Mayo Clinic

www.mayoclinic.org

Amenorrhea - Symptoms and causes

www.mayoclinic.org