Coding

Expand all | Collapse all

In utero surgery DX

  • 1.  In utero surgery DX

    Posted 26 days ago
    Hi all,

    Is it appropriate to code and bill from the ICD-10 CH 17 (Q codes) for in utero surgery or for ultrasounds on the maternal record?

    Thanks,
    Deb


    ------------------------------
    Deborah Osborn
    ------------------------------


  • 2.  RE: In utero surgery DX

    Posted 25 days ago
    Hi Deborah,
    You should not bill a Q code for in-utero surgery as the ICD-10 will refer to the mom having the diagnosis, not the fetus.
    You should use the fetal anomaly codes O35.0XX & O35.8XX series. The coding committee did propose more specific fetal anomalies codes by organ system, and we will find out in the next few months if these new codes were approved.
    Fadi

    ------------------------------
    Fadi Bsat, MD
    Past Chair, SMFM Coding Committee
    ------------------------------



  • 3.  RE: In utero surgery DX

    Posted 24 days ago
    No. Q codes should be restricted to use on pediatric (ie ex-utero) patients only and should not appear on the maternal/ob record

    ------------------------------
    Vanita Jain, MD
    Chair, SMFM Coding Committee
    ------------------------------



  • 4.  RE: In utero surgery DX

    Posted 24 days ago
    Dr. Jain and Dr. Bast,
    Thank you for the prompt reply to confirm. Last follow-up question.  Would it be appropriate to use the fetal code (P or Q) as a secondary code not listed on the line item of the claim?

    Best,
    Deborah

    ------------------------------
    Deborah Osborn
    ------------------------------



  • 5.  RE: In utero surgery DX

    Posted 24 days ago
    Can you give me the case/clinical example of what you are trying to bill? maybe that would help me understand better?

    ------------------------------
    Vanita Jain, MD
    Chair, SMFM Coding Committee
    ------------------------------



  • 6.  RE: In utero surgery DX

    Posted 10 days ago
    IUT

    36460
    59012
    76941,26

    O368220
    O360920
    Z3A23

    ------------------------------
    Deborah Osborn
    ------------------------------