Re: Quintuplets
From: R. Daniel Braun (rd.braun@gmail.com)
Tue Jan 22 17:48:12 2008
Try Bob Carpenter.
On Jan 22, 2008 2:44 PM, Andrew Folley <agfolley@hotmail.com> wrote:
> Calling all Hands
>
> Just received a call from friend (non physician) in Houston. Coulple
> lated 20s at his chruch with infertility. Got the "shots" etc now of course
> they have 5 in utero embryos ALL with good heart beats at about 12 weeks.
> needless to say recommendation from specialists etc is for "embryo
> reduction". Intellectually they understand it is the "right" thing to do;
> emotionally they just can not do it. Someone on the list was from Houston
> (I thought it Richard??) Who do I refer them to in terms of MFM specialist
> High risk hospital to call etc. Other ideas??? thanks andrew
>
> ------------------------------
> Date: Thu, 17 Jan 2008 05:46:46 -0600
> ------------------------------
> From: rd.braun@gmail.com
> ------------------------------
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: Coding-ER visit
>
> In this case, it would be a postop visit and covered in your surgical fee.
>
> Dan
>
> On Jan 16, 2008 11:33 PM, Glen Elrod <dr99645@yahoo.com> wrote:
>
> A 75 yr old lady, postop day number 4 from a TAH/BSO and nodes for
> endometrial cancer presents to the ER with complaint of right hip pain. I
> happen to be close to the ER and I go ahead and see her rather than the ER
> doc.
>
> I would venture to say that I did an expanded problem focused HPI and exam
> and had straight forward medical decision making.
>
> Is the E/M code for seeing someone in the ER that of observation or is
> there another that I've missed? Or is this visit somehow tied up in the
> global package?
>
> Thanks,
>
> Glen
>
--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
