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Resolved OV- confirm pregnancy

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

Moderator
Staff member
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:

 
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:

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

Moderator
Staff member
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.


 
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