Practice Quiz

Medical Coding

Category - 50,000 Series

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A 27-year-old pregnant woman presented to the hospital maternity ward to deliver her third baby. She was 39 weeks pregnant and has had no complications so far. The patient planned on a vaginal delivery. Her oldest child was born vaginally and her second was born via cesarean section. Her OB, who had provided her antepartum care, was able to successfully complete a vaginal delivery with no complications. Her OB also provided postpartum care to the patient. What procedure code should be reported by the OB?
  1. 59400
  2. 59510
  3. 59620
  4. 59610
Explanation
Answer: D-The OB should report code 59610 (Routine Obstetric Care Including Antepartum Care, Vaginal Delivery and Postpartum Care, after Previous Cesarean Delivery). Even though the patient’s first child was born vaginally, her second child was delivered by a cesarean section. This type of delivery is referred to as a vaginal birth after cesarean (VBAC).
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