Can you help us with a coding issue regarding spontaneous abortions?  We are wondering if it is appropriate to code a delivery code is they say the fetus was delivered.  The patient came into the hospital actively having a miscarriage, “She delivered the second trimester fetus, approximately 16 weeks”.  Placenta was manually removed by the […]

One of the coders posed a question to me about the use of the 338 codes for our Pain Management Clinic.  We are not getting documentation from the physician that pain is acute or chronic.  He gives the diagnosis of the 700 codes (721.0, 722.0, 723.0, 723.1, and 723.4).  The coder wants to query the […]