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cesarean scar ectopic

  • 1.  cesarean scar ectopic

    Posted 03-20-2020 10:13
    ​What codes do you use to bill an ultrasound guided intra-gestational sac injection of methotrexate for a cesarean scar ectopic pregnancy? The procedure was done in the OR with a spinal but patient went home same day.

    Thank you!

    Stacey Ehrenberg

  • 2.  RE: cesarean scar ectopic

    Posted 03-23-2020 05:14
    HI Stacy:
    short answer, either
    a)  59897 - unlisted fetal invasive procedure, including ultrasound guidance (Claim should be dropped to paper with supporting documentation). The supplies used (KCL/MTX, needles, drapes, gloves, cleaning solution etc) are included in all the procedure codes and can NOT be billed separately or in addition.
    b) MFM is providing the intra-amniotic injection, hospital admission and delivery/termination use 59850-59852.
    search the tips or Q&A we have answered this more extensively (search KCL I think)

    Vanita Jain, MD
    Chair, SMFM Coding Committee