A common disagreement between the coders in our facility is when to use to the high-risk codes for prenatal care. For example, a patient who is 40 years old and has delivered 7 children, prior to this pregnancy, comes in for an OB visit. The doctor does not specifically state that it is a high-risk pregnancy, but it is obvious that she "elderly" and has "grand multiparity". Would you use the V22.1 or V23.82 & V23.3?
What is the determination for high-risk?
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