Ob-Gyn Coding Alert

Obstetrics:
Prevent Mistakes When a Pregnant Patient Switches Insurance Prior to Delivery
If the patient is late in her pregnancy, here's what to do. Open enrollment season is upo... Read more
Gynecology:
3 Tips Perfect Your Pessary Coding Skills
Learn when you can report more than an E/M service. Although you have only one CPT® co... Read more
Management:
Realize Burnout and Apathy May Occur and Help Employees Navigate Workloads
Make sure remote workers establish boundaries. It's inevitable that at some point in thei... Read more
You Be The Coder:
How to Report Post Term Pregnancies
Question: I'm new to ob-gyn coding. What constitutes a post term pregnancy, and how should... Read more
Reader Question:
How Should I Report a Cervical Laceration Repair?
Question: A patient had a vaginal delivery. One hour later she was having a PP hemorr... Read more
Reader Question:
Heed This WHO AI Advice
Question: With the popularity of different artificial intelligence (AI) systems, are ... Read more
Reader Question:
How Should I Bill Three Sequential Visits?
Question: I have a provider who would like to see new patients over the course of thr... Read more
Reader Question:
Do You Know How to Code a Post-LEEP Injury? Find Out
Question: Patient had LEEP for CIN 3 yesterday. Started bleeding around 6 pm last nig... Read more
CPT® 2024 Update:
Mystery Surrounds How to Use New Pelvic Examination CPT® Code
This uterine fibroid ablation approach gets a new code. This year's changes to the CPT® ... Read more
Gynecology:
Vanquish Vulvar Lesion Coding Mistakes With This Advice
Considering an integumentary code? Avoid making this $185 mistake. When you're deciding w... Read more
How to Query Your Providers With Confidence
In some coding cases, you may need clarification from your provider. Navigating the query ... Read more
You Be the Coder:
Gestational Hypertension No Longer Present
Question: How do you code for a postpartum follow-up visit for a patient who had gestation... Read more
Reader Questions:
Are You Using the Most Recent ABN Form?
Question: How do I know if I'm using the most up-to-date advanced beneficiary notice (ABN)... Read more
Reader Questions:
OB Drug Screening Means Being Careful
Question: Our providers are now performing a qualitative drug screen in our office on all ... Read more
Reader Questions:
Isolate This Toxoplasmosis Screening Code
Question: I was wondering if someone could help. We have a newly pregnant patient who work... Read more
Reader Questions:
Procedures Include Hemostasis
Question: Patient is one day post-op for 58548 (Laparoscopy, surgical, with radical hyster... Read more
Gynecology:
Focus In on E/M Visit for Patient Returning for a Repeat Pap Smear
Highlight this diagnosis code. When a patient returns because the Pap smear results are d... Read more
Obstetrics:
Bust 4 Myths to Separate Fact From Fiction About Contraceptive Services
Find out whether preventive services include counseling. Do you know when you should co... Read more
Compliance:
Make Accessibility for Deaf Patients a Priority
Consider accommodations for deaf patients. It's of the utmost importance that you ensur... Read more
Reader Questions:
How to Decide Between E/M Versus PP Care
Question: I have a patient who didn't deliver with us and came back for postpartum (... Read more
Reader Questions:
Patient Fears Pregnancy? Not a Medical Condition
Question: I have a patient who wants a tubal ligation due to a phobia of getting preg... Read more
Reader Questions:
Code Foreign Body Removal by Method
Question: My physician removed a foreign body from the vagina of a child using a pedi... Read more
Reader Questions:
Remember to Receive Patient Consent for Telehealth Visits
Question: When doing a telehealth encounter, do you need to ask for telehealth-specif... Read more
Reader Questions:
Your Lesion Code Depends on Diameter
Question: Our physician performed an excision of four benign lesions and wants to bil... Read more
Reader Questions:
This Is How to Clear Up Your Injection Coding Mistakes
Question: Our ob-gyn injected Depo-Medrol and Xylocaine into the area of the vaginal ... Read more
Reader Questions:
Understand These E/M Guidelines
Question: When our providers perform online digital evaluation and management (E/M) s... Read more
You Be the Coder:
Elevated HCG May Indicate This Diagnosis
Question: I need a diagnosis code for positive human chronic gonadotropin (HCG) four ... Read more
ICD-10-CM Update:
Massive Revisions to Notes Underneath Ob-Gyn Codes Highlight the 2024 Dx Changes
Learn how you'll report intrahepatic cholestasis of pregnancy as of October 1. Although ... Read more
Obstetrics:
How to Recoup Ethical Extra Reimbursement for Pregnant Diabetic Patients
Draw the line between diabetes before pregnancy and gestational diabetes. So you know tha... Read more
E/M:
Take Stock of How You Are Handling 2023 Inpatient/Hospital E/M Revisions
Hint: Ensure providers are identifying POS correctly with observation patients. You've ha... Read more
Reader Questions:
Distinguish O Code Families
Question: There are different families of O codes for hemorrhage (we are comfortable ... Read more
Reader Questions:
Here’s How to Follow ICD-10 Instruction Under N76
Question: Code N76 (Other inflammation of vagina and vulva) shows a message in red un... Read more
You Be the Coder:
Profile What’s Included in the Postpartum Exam
Question: When we report global ob care, it includes a “postpartum exam.” What is... Read more
Gynecology:
Here’s What You Need to Know to Code Your Hysterectomy Claims
Review where and when you should consider reporting code 58575. Coding a hysterectomy cla... Read more
E/M:
Learn How to Code Virtual Encounters After End of PHE
Hint: Always check NCCI edits. Now that the COVID-19 public health emergency (PHE) is off... Read more
Coding 101:
Why It’s Important to Understand What NCCI PTP Edits Are
Hint: Be very careful when using a modifier to break an edit. Although your coding softw... Read more
Reader Questions:
What to Do for Non-Covered Service
Question: I know that the code for the treatment of ectopic pregnancy is 59150 when done l... Read more
Reader Questions:
No Layered Repair? Then Strike “Complex” From Your Options
Question: My ob-gyn performed an episiotomy revision in the office eight months after the ... Read more
Reader Questions:
Profile What’s Included in the Postpartum Exam
Question: When we report global ob care, it includes a “postpartum exam.” What is the ... Read more
Reader Questions:
Use Autologous Dx for Blood Cord Collections
Question: My ob-gyn saw a patient who had a normal spontaneous vaginal delivery over midli... Read more
Reader Questions:
Can You Bill Colposcopy During PP Exam?
Question: If a patient has a colposcopy done during her postpartum (PP) exam, is a modifie... Read more
Reader Questions:
Spotting and Cramping: What Diagnosis Code(s) to Report
Question: The provider documents a pregnant patient is having spotting and cramping. Is cr... Read more
You Be the Coder:
Modifiers Are Key to This Control of Bleeding Case
Question: Could you help me code this control of bleeding case? Doctor states: “33 week... Read more
Gynecology:
Biopsy Coding: Why You Need the Pathology Report Prior to Submitting Your Claim
Don't assume number of biopsy units matches number of samples. Are you sure you're getti... Read more
Breaking News:
Cigna’s Controversial Modifier 25 Policy Delayed Again
Don't let a policy change disincentivize your ob-gyns from providing great care. You may ... Read more
ICD-10:
What to Do When Your Hospital Stay Diagnoses Do Not Stay Static
Establish a policy for waiting six weeks after the patient leaves the hospital. When an o... Read more
Coding 101:
Learn When to Start the Global Ob Package
Here's why you may want to wait until the next full visit. With the influx of so many ne... Read more
Reader Questions:
Pinpoint Business Associate Rules
Question: I woke up in a panic last night: I've been sending bills with protected hea... Read more
Reader Questions:
Perfect Your POP-Q Exam Coding
Question: During an audit review, we had a physician mention other practices were get... Read more
Reader Questions:
Exile These Fibroid Removal Errors
Question: My ob-gyns op note states the following: 1. Hysteroscopic resection of p... Read more
Reader Questions:
Is a Sinus Infection a Pregnancy-Related Complication? Find Out
Question: When an ob patient presents to the office for her routine visit and complai... Read more
You Be the Coder:
BPP and Limited Twin Ultrasounds
Question: My ultrasound tech scanned a patient with a twin pregnancy. The patient is ... Read more
Gynecology:
Solve Your Hysterectomy Plus Enterocele Combo Codes With These Tips
Do you know how to report a “modified radical” abdominal procedure? Find out. If you'... Read more
Coding Quiz:
Pinpoint The Most Accurate Postmenopausal Abnormality Diagnosis Code
Here's how to tell the difference between osteoporosis and osteopenia. Denials giving you... Read more
Obstetrics:
Following These Ultrasound Guidelines Means You’re Going the Extra Mile
Test your knowledge with a challenging two-part example. Following up on the article pr... Read more
Coding Quiz Answers:
3 Answers Probe Your Postmenopausal Condition Know-How
Remember: Writing prescriptions is part of the E/M exam code. If you think your answers t... Read more
Reader Questions:
Screening Dx Codes Support Lab Work, not Reason for Visit
Question: It looks like my providers recently started selecting their own ICD-10-CM c... Read more
Reader Questions:
Do You Know What “MTHFR” Means? Find Out
Question: My ob-gyn documented seeing a patient with MTHFR. What is it, and what code... Read more
Reader Questions:
Determine Your Condylomata Codes
Question: I'm new to ob-gyn coding. My ob-gyn documented that the patient has “cond... Read more
Reader Questions:
See When Higher Code Level May Prevail
Question: My ob-gyn's notes indicate that on April 2, 2023, she performed initial obs... Read more
You Be the Coder:
Navigate How to Report a Vaginoperineoplasty
Question: What's the best way to code the vaginoperineoplasty portion of this procedu... Read more
Obstetrics:
How to Choose the Correct Comparison Code for the Jada Device
Here's how Jada device and the Bakri balloon differ. When it comes to reporting the Jada ... Read more
Preventive Services:
Do You Know How to Use Medicare’s “Carve Out” Rule? Find Out.
Do you know which modifier tells Medicare that you know the service isn't covered? Suppo... Read more
Documentation:
Tackle Incomplete Notes and Learn How to Query Providers With Ease
Hint: Know when to query. Having complete and accurate documentation is so important in ... Read more
Reader Questions:
Delve Into Prescription Drug Management Advice
Question: What qualifies as prescription drug management, which is a moderate-risk le... Read more
Reader Questions:
Code This GBS Screening Scenario
Question: I'm looking for some guidance on coding of GBS bacteriuria in a pregnant pa... Read more
Reader Questions:
Distinguish Between Your PCPs, Ob-Gyns
Question: My office has primary care physicians (PCPs) and ob-gyn doctors. We have a ... Read more
You Be the Coder:
Failed Medical Abortion Scenario
Question: I have a patient who had a failed medical abortion (other provider) and so... Read more
Obstetrics:
Obstetrical Ultrasound Coding Means Understanding Anatomy
Missing elements in documentation? You may have to report 76815 in place of 76801. You kn... Read more
Gynecology:
Knowing Why Ob-Gyn Reported Labiaplasty is Key to Perfect Claims
Choosing 15839 when your documentation supports it could boost your practice's bottom line... Read more
COVID-19:
Begin Your End-of-PHE Countdown Now
Know which waivers will expire — and which are here to stay. The COVID-19 public healt... Read more
You Be the Coder:
Repair of a Rectocele and an Enterocele
Question: How should I report this? Patient was initially scheduled for an ANTERIOR &... Read more
Reader Questions:
Diagnostic vs. Screening Depends on Order, Not Implant
Question: My ob-gyn sees a patient who has breast implants or breast augmentation and orde... Read more
Reader Questions:
Code This Laparoscopic to Open Procedure for Ectopic Pregnancy
Question: My ob-gyn did a diagnostic laparoscopy, an exploratory laparotomy, and a co... Read more
Obstetrics:
Use of a Fetal Monitor Doesn’t Always Mean You Should Report 59025
Make the distinction between NSTs and labor checks. If an ob-gyn uses a fetal monitor, th... Read more
Gynecology:
Engage These 3 Challenges for a Clean Endometrial Cancer Surgery Claim
You need to know whether your ob-gyn did a limited or complete lymphadenectomy. If you... Read more
Compliance:
Gain Deep Understanding of HIPAA Security and Privacy Rule to Secure PHI
Hint: Learn how to properly dispose of PHI. As technology advances, healthcare provider... Read more
Reader Questions:
Note the Latest NCCI Edits for Ob-Gyn Practices
Question: I know the National Correct Coding Initiative (NCCI) edits usually come out... Read more
Reader Questions:
Determine Sulcus Tear Reporting
Question: How does a physician bill for a deep sulcus tear repair when she was called... Read more
Reader Questions:
Untangle This Surrogacy Billing
Question: In my 12 years of being in ob-gyn, I have not ever dealt with surrogacy bi... Read more
Reader Questions:
Heed Rules for Proper 99211 Billing
Question: Should I be reporting all services performed by a nurse, including those pr... Read more
You Be the Coder:
C-Section Infection
Question: Patient was seen in the hospital for a c-section, and my ob-gyn assisted. T... Read more
Obstetrics:
Start 2023 Off Right by Busting These Delivery Coding Myths
Did a nurse delivery the baby? Here's the modifier you should use. Have you received a d... Read more
Gynecology:
5 Steps to Master Your Ob-Gyn’s Myomectomy Claims
Define the different types of uterine fibroids. If you're trying to determine which myome... Read more
ICD-10-CM:
Leave Your ‘With’ Guideline Misunderstandings Behind
Hint: Don't look for ‘with' in the alphabetic index. If there's one generalization peop... Read more
Reader Question:
Apply Either Modifier 51 or 59 In This Essure Scenario
Question: I have a patient that had a uterine inversion after a vaginal delivery. The pati... Read more
Reader Question:
Do You Know These ICD-10 Hemorrhage Subtleties? Find Out
Question: There are different families of O codes for hemorrhage (we are comfortable using... Read more
Reader Question:
1 Patient, 2 Same-Day Ob-Gyn Visits? Here’s What to Do
Question: One patient scheduled on the same day saw two different ob-gyns of the same... Read more
You Be the Coder:
Uterine Inversion After Vaginal Delivery
Question: I have a patient that had a uterine inversion after a vaginal delivery. The pati... Read more
Obstetrics:
Submitting Complaints Rather Than N97.9 May Help Your Infertility Claims
Here's why you may want to keep your consultation codes handy. “I'm having trouble gett... Read more
Gynecology:
Reporting a Repeat Pap Smear? Zero in on Your E/M Codes
Some private payers may reimburse the specimen handling. Your patient's Pap smear results... Read more
ICD-10-CM 2023 Update:
6 FAQs Demonstrate How to Use SDoH Codes in Your Ob-Gyn Practice
Look beyond the codes to the guidelines for all the info you need. On October 1, more tha... Read more
Reader Question:
Here’s Why Medicare Reversed Its Split/Shared Visit Policy
Question: If Medicare finalized its split/shared visit policy in 2022, why did it reverse ... Read more
Reader Question:
Highlight This Hysterosalpingogram/Hysterosonogram Difference
Question: What is the difference between a hysterosalpingogram and a hysterosonogram? Whic... Read more
Reader Question:
Seeing a New Physician Doesn’t Always Equal a New Patient Visit
Question: We have a new ob-gyn in our group whose patients from their previous group follo... Read more
Reader Question:
Open Ovarian Drilling Means Submitting This Code
Question: Our patient was scheduled for a laparoscopic right oophorectomy along with left ... Read more
You Be the Coder:
Choose Your Postpartum Care Code Wisely
Question: Our ob-gyn provided antepartum care for a patient who delivered out of town... Read more
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