Ob-Gyn Coding Alert

Here's How Lesion Type/Size and Layer Closer Can Validate Your Vulvar Lesion Claims
Here’s How Lesion Type/Size and Layer Closer Can Validate Your Vulvar Lesion Cl... Read more
Coding Quiz:
4 Questions Affirm You're Correctly Reporting Antepartum Care
Here’s why you should be careful about your 1-3 visit situations. When you&rsqu... Read more
Ensure Flu Vaccine Coding Success with These 3 Expert Tips
From immunizations to diagnoses, get the lowdown on flu patients. It’s that time... Read more
Safeguard Your Cervical Dysplasia Claims Using These N87 Codes
Make the distinction between pre- and post Oct. 1 claims. If a patient has cervical dy... Read more
Reader Question:
Patient Requested Labs Mean Z Codes
Question: What diagnosis code would I use if the patient is requesting labs for wor... Read more
Reader Question:
Count Minor Stitch on Uterus As Incidental
Question: A patient presents with a complication from a previous surgery which was a ... Read more
Reader Question:
Careful Which Code You Submit as Primary
Question: We billed CPT® codes 58552 and 49322-59 because of additional documen... Read more
Reader Question:
Break Down Your Glucose Testing Options
Question: I’m trying to figure out how to bill for this Glucose 2 hour test. ... Read more
You Be the Coder:
Routine Antenatal Screening
  Question: We are having trouble with our payers, specifically Medicare, ac... Read more
So Now You're Using ICD-10 -- Time to Look Forward to 2016 ICD-10 Ob-Gyn Changes
Avoid Z3A codes when patient has postpartum complication. You’ve studied and now... Read more
News You Can Use:
Move Beyond ICD-10 Implementation, But Don't Stop Training
Continue to stress coder/provider cooperation for success. While you can breathe a sig... Read more
3 Questions Solve Your IM Injection Challenges
If the ob-gyn isn’t present, revert to a nurse visit, CPT® says. The injecti... Read more
Reader Question:
Check With Your WC Payers Before Using ICD-10
Question: I have heard I won’t use ICD-10 for workers’ compensation rel... Read more
Reader Question:
How to Report an ED Visit During Pregnancy
Question: A pregnant patient presents in the emergency department (ED) during her p... Read more
Reader Question:
You Cannot Solve Coverage Issue With Coding
Question: The patient saw the OB nurse for her first visit for this pregnancy and g... Read more
Reader Question:
Superficial Laceration With DaVinci Hysterectomy? Do This
Question: The provider did a DaVinci total hysterectomy with bilateral salpingectom... Read more
Reader Question:
How to Report Laminaria Plus Suction Curettage
Question: If the patient was given Laminaria on 07/27 in the office and then seen a... Read more
Reader Question:
Tackle This Lysis of Endometriotic Lesions Scenario
Question: The patient is now having a complication from the previous surgery which ... Read more
You Be the Coder:
Removal of Fallopian Tube Only
Question: When billing a laparoscopy removal of fallopian tubes only (without the o... Read more
News You Can Use:
Preview Your CPT® 2016 Changes for Ob-Gyn With These 7 Highlights
Ovarian sclerotherapy and fetal MRs garner attention. While the October change to ICD... Read more
Recognize These Requirements/Near Requirements For Fetal MRs
Gestational age: The American College of Radiology (ACR) recommends that fetal MR be def... Read more
Don't Make This Crucial Observation Coding Mistake
Timing is everything when choosing a code. When your ob-gyn admits a patient to observ... Read more
Bust These 5 Delivery Coding Myths
Here are the ICD-10 codes you need to report next month. Focusing solely on global cod... Read more
CMS Reps: All Systems Go for Next Month's ICD-10 Launch
You can continue to participate in acknowledgement testing until Oct. 1. You’ve ... Read more
Reader Question:
Check Out This ICD-10-PCS Subtlety
Question: I’m looking at ICD-10-PCS, and I was wondering, are all procedures ... Read more
Reader Question:
Mark FBR by Method
Question: My physician removed a foreign body from the vagina of a 4-year-old using... Read more
Reader Question:
Some Bundles You Cannot Separate
Question: We have a physician who performed a 44180 (Laparoscopy, surgical, enterol... Read more
You Be the Coder:
Validate Your Vaginal Mesh Excision Codes
Question: My doctor did excision of vaginal mesh on two different patients. What co... Read more
Present Perfect Pessary Coding Claims To Your Payers -- Here's How
Find out where you should look for your prolapse diagnosis codes in ICD-10. If you thi... Read more
Clear Up MDM vs. Medical Necessity Confusion or Face Denials
Make sure your ob-gyn knows what he is signing when submitting claims. Justifying high-le... Read more
Update Your MMK-Related Diagnoses This Fall
You’ll have an easy transition with these codes. During the Marshall-Marchetti-K... Read more
Reader Questions:
Here's How to Report Hand Held Ultrasound Device
Question: Can you tell me if it is possible to bill this procedure? A physician use... Read more
Reader Questions:
Don't Stop ICD-10 Prep Based on CMS News
Question: I heard that CMS issued a statement saying we’ll have a one-year re... Read more
Reader Questions:
Check Your Dx for Short Interval Between Pregnancies
Question: Is there a diagnosis code to use for short interval between pregnancies? ... Read more
Reader Questions:
Solve This Rectocele and Cystocele Scenario
Question: I need help to make sure these are the correct diagnosis codes to use. My... Read more
Reader Questions:
Decide Whether To Use Modifier 50 on 58661
Question: We have found some conflicting information on 58661 and being able to use... Read more
Reader Questions:
All O Codes Demand Gestational Age
Question: If a patient says she has a complete AB, do we need to list the week&rsqu... Read more
You Be the Coder:
Incarcerated Uterus
Question: Patient is 17 weeks and has an incarcerated uterus. Physician was unable to ma... Read more
Pregnant Diabetic Patients? Justify Extra Reimbursement With This Advice
Hint: Diabetes before pregnancy is different from gestational diabetes. If you’v... Read more
Advance Your Extensive Adhesiolysis Claims Towards Approval
Follow these 4 tips, and your claim will pass with flying colors. If you’re ofte... Read more
Process How Your Polyp Codes Will Shift After October 1, 2015
For “mucous polyp of cervix,” report this ICD-10 code. Polyps are small gr... Read more
Reader Questions:
Heart Murmurs Can Be Functional
Question: We have an ob patient who was just diagnosed with a heart murmur. The doc... Read more
Reader Questions:
Seize These Two Skene's Gland Cyst Options
Question: Patient has a cyst on Skene’s gland, and I’m trying to find a... Read more
You Be the Coder:
Trichorionic Triamniotic Triplet Gestation
Question: I have a triplet pregnancy that says it is “Trichorionic Triamnioti... Read more
Urogynecology Case Study:
Discover What Modifier You Need to Maximize Your Hysterectomy, MMK Pay
Warning: Modifier missteps could cost you nearly $800. If your gynecologist documented... Read more
Preventive Medicine:
Puzzled by Preventive Medicine Counseling Codes? Follow This Advice
Tip: Don’t use 99401-99404 if the patient is ill. Suppose your ob-gyn performs a... Read more
Prepare For Numerous More Preterm Labor O60 Options
Tip: Indicate the fetus with your seventh character. Preterm labor is the presence of ... Read more
Reader Questions:
You Shouldn't Report Modifier 78 - Here's Why
Question: Patient is two weeks status post anterior colporrhaphy with repair of ent... Read more
Reader Questions:
Ovarian Drilling? Avoid 58661
Question:  If the doctor had made multiple punctures, and this was an ovarian drill... Read more
Reader Questions:
Add-On Codes Can't Be Reported Alone
Question: Patient had C-section by ob-gyn doctor from an OB practice, and we (GYN/O... Read more
You Be the Coder:
Here's Why Payers Won't Cover 58700
Question: Wondering if anyone is seeing docs doing salpingectomies at time of c-sec... Read more
Post Term Pregnancy? Look To These 2 ICD-10 Options
Tip: Over 42 weeks means you should opt for “prolonged” code. Patients who... Read more
CCI 21.1:
CMS Rescinds Some A&P Repair Edits and Changes Modifier Indicators for Others
Here’s what to do if you have a retroactive claim these changes affect. Remember... Read more
News You Can Use:
Coverage for HPV Testing May Be Expanding to Once Every 5 Years
Here’s when the coverage decision will be made. Medicare is proposing to begin c... Read more
You Can Stick with 59 For Now, CMS Says
CMS is giving software entities time to update their systems. If you are still waiting... Read more
Reader Questions:
Intermediate Repair Means You Can Add 12042
Question:  Our ob-gyn performed excision vulvar hidradenitis. A navicular incision ... Read more
Reader Questions:
Check Out This New ICD-10 Guideline
Question:  We are working on our crosswalk. A scenario that has us stumped:  P... Read more
Reader Questions:
Don't Rely on ICD-10 GEMS for V64.41 and 648.83
Question:  I’m looking for the ICD-10 equivalents for V64.41 and 648.73, whic... Read more
Reader Questions:
Start Getting More Specific for Apical Prolapse
Question: Need help in coding the following Dx: Apical Prolapse. Would that be 618.00 (V... Read more
You Be the Coder:
If No Intrauterine Contents, Use This D&C Code
Question:  I am having an issue with this procedure. The name of the procedure is &... Read more
News You Can Use:
UnitedHealthcare Announces Changes That Limit Your Hysterectomy Choices
If you’re reporting anything other than 58260-58294, prepare for a denial. If yo... Read more
Disease Process Could Be Key When Choosing Labiaplasty Code
Should you use 56620 or 15839 for labiaplasty? Experts explain. Just because you won&rsqu... Read more
Coding Late-Term OB Care? Check for Prior Antepartum Care
Pregnant patient transfer may still mean reporting a global code. You know that you sh... Read more
Verify How You'll Report V72.4x After October 1, 2015
Hint: You must code what you know at the end of the visit. If a patient suspects she i... Read more
Step Up Your ICD-10 Preparation with Testing Dates
Choose acknowledgement or end-to-end testing. Whether your ob-gyn practice has been pr... Read more
Reader Questions:
Identify the Fetus Receiving Care With Your ICD-10 Code
Question: I’m a little confused as to which twin I am identifying with this s... Read more
Reader Questions:
Do Not Confuse Vulvectomy With Cystectomy
Question: I need a CPT® code for perineal cystectomy. The doctor’s note states... Read more
Reader Question:
What to Do for Non-covered Service
Question: I know that the code for the treatment of ectopic pregnancy is 59150 when done... Read more
Reader Question:
Check With Your Payer For This Cesarean, Hernia Scenario
Question: Our doctor did a cesarean on a patient and noticed a hernia that he repai... Read more
Reader Question:
Weigh This Potential Modifier 22 or Modifier 52 Situation
Question: My ob-gyn is performing 58200, but in addition, he is removing the pelvic l... Read more
Reader Question:
Determine if This Was an Intrauterine Fetal Death or Abortion
Question: Sorry to bring this up again but our hospital coders are saying we cannot... Read more
You Be the Coder:
Lower Level Ob Ultrasounds Despite Gestational Age
Question: I have recently read on Codify that it is appropriate to use CPT® cod... Read more
Consider How to Add Complication Visits To the Global Ob Package
Hint: You can report complications before or after delivery. You can receive increased... Read more
Hysterectomy, Part 4:
Give Your Hysterectomy Coding A Clean Bill of Health
Can you separately report a hysterectomy and a biopsy? Find out. Avoid inaccuracy flar... Read more
News You Can Use:
Decipher What Global Period Eliminations May Mean to Your Ob-Gyn Practice
Be aware of the negative side effects for patients. CMS has released a proposal to do ... Read more
Coding Quiz Answers:
See How Your Hysterectomy Responses Measure Up
Did you report combo code 58152 rather than 51840? Got your answers handy? Check them ... Read more
Discover How Your Normal Delivery Diagnosis Will Transform After Oct. 1
Find out what the only appropriate outcome code to use with O80 is. If all goes accord... Read more
Reader Question:
If Your Ob-Gyn Merely Reviews Ultrasound, Find Out If You Can Use Mod 26
Question: Patient had 76815(Ultrasound, pregnant uterus, real time with image docum... Read more
Reader Question:
Apply This Code for Laparoscopic Peritoneal Resection
Question: I am new to ob-gyn billing, and I am trying to find a CPT® code for a... Read more
Reader Question:
Count Hemostasis As Part of Procedure
Question: Patient is one day post-op for 58548 (Laparoscopy, surgical, with radical... Read more
Reader Question:
Find Help for This Hysteroscopy Scenario
Question: The ob-gyn performs a hysteroscopic resection of a submucosal myoma with... Read more
You Be the Coder:
Reporting Postpartum Visit(s) Only
Question: We encountered a situation where an established patient delivered elsewhe... Read more
Hysterectomy, Part 3:
Learn What Makes Good and Bad Documentation With 2 Hysterectomy Op Notes
Save these on-the-go documentation tips to ward against big mistakes. Last month, you ... Read more
On-the-Go Documentation Tips
You’ve read about what makes a good and bad Ob report, but here’s what you c... Read more
Get These 7 Compliance Plan Tips Straight From the OIG's Medical Director
The Affordable Care Act requires a firm compliance plan, so use these tips as a guidelin... Read more
Follow This Compliance Director's Advice
As you use Dr. Taitsman’s advice to create a compliance plan, keep the following q... Read more
Streamline Your 670.22, 670.24 Codes Into a Single Diagnosis in ICD-10
Tip: Remember to include an additional code for the infectious agent. Puerperal sepsis... Read more
Reader Question:
Package Your Pre-Op Visit in Surgical Codes
Question: Can we bill pre-op visits regardless of how many days away from surgery? ... Read more
Reader Question:
Compare Laparoscopic Removal of Peritoneal Clips With This Code
Question: My doctor did a laparoscopic removal of peritoneal clips. Is there a code... Read more
Reader Question:
Define These Doppler Echocardiographies
Question: Fetal cardiac evaluation was performed using 2D ultrasound, color Doppler... Read more
Reader Question:
Refer to State Reqs for Spontaneous Abortion Versus Early Delivery
Question: Patient is 22.6 weeks, seen by the maternal fetal medicine (MFM) speciali... Read more
You Be the Coder:
Laparoscopic Ovarian Vein Cauterization
Question: I am in need of some assistance with choosing a CPT® code for what th... Read more
Hysterectomy Coding, Part 2:
Cut the Errors Out of Your Hysterectomy Combination Coding With This Expert Advice
Go in-depth with enterocele combos, and get the payment you deserve. Last month, you l... Read more
Attain Perfection With Your Amnio Claims
Hint: 1 word will help you choose ICD-9, CPT® codes. If coding amnio procedures &m... Read more
News You Can Use:
CMS Proposes Cut Down On Global Periods
CMS Proposes Cut Down On Global Periods CMS’s proposed rule for the Medicare Phy... Read more
Diversify How You Will Report Decreased Fetal Movements in 2015
Your 655.7x diagnoses will expand to encompass specific fetuses. Pregnant patients may... Read more
Reader Question:
Check These Dx For Pregnant Patient With Appendicitis
Question: A pregnant patient came in through the emergency department ED for right ... Read more
You Be the Coder:
Avoid 88142 When Not Doing Pap Interpretation
Question: Patient came for her well woman check up. She also had amenorrhea and int... Read more
Hysterectomy Coding, Part 1:
3 Common Sense Steps Help You Solidify Your Hysterectomy Claims
Here’s why knowing the weight of the uterus is so important. Don’t just co... Read more
Coding Quiz:
Circumvent These Ob Confirmatory Visit Claim Mishaps With 3 Q&As;
Don’t miss out on E/M fees by initiating the Ob record too soon. When your ob-gy... Read more
Avoid the Auditor's Crosshairs With These E/M Tips
Securing the correct history level is easy with this element-by-element study. You don... Read more
Verify How You Report Vaginitis and Vulvovaginitis in 2015
You’ll have more options than 616.10 in ICD-10. Vaginitis and vulvovaginitis is ... Read more
Reader Question:
Process This Prescription Scenario
Question: If a woman is seen for her annual exam and is given Valtrex for herpes bu... Read more
Reader Question:
Salvage This Cyst Op Note by Forgoing Removal Code
Question: I need some assistance with choosing correct codes. I’m starting wi... Read more
Reader Question:
Nurse Performing Blood Pressure Check? Do This
Question: Doctor orders blood pressure (BP) check at our nurse’s station. The... Read more
Reader Question:
Choose The Correct Lesion Code Based on Size
Question: I need some assistance with the following op note. Diagnosis: Vulvar Co... Read more
Reader Question:
Examine These Ultrasound Elements to Choose Correct US Code
Question: Patient with an unknown last menstrual period (LMP) came in for confirmat... Read more
You Be the Coder:
Carve Out the Tubal Counseling In This Scenario
Question: Patient had a suction dilation and curettage (D&C) on 11/04/14. She c... Read more
Available Years:  2015  2014  2013  2012  2011  2010  2009  2008  2007  2006  2005  2004  2003  2002  2001  2000  1999  1998