Draw the Line Between Ultrasounds and Global Care
Published on Sun Sep 20, 2009
Don't include 76801-76802/76805-76810 in ob package, says AMA and ACOG. Can you report ultrasounds separately from the global package? Here's the official word from both the AMA and the American College of Obstetricians and Gynecologists (ACOG). Highlight This Antepartum Care Inclusion Reference Although many insurance providers include ultrasounds (76801-76802 or 76805-76810) as a standard part of the ob global package (for example, 59400, Routine obstetric care including antepartum care, vaginal delivery [with or with episiotomy, and/or forceps] and postpartum care), CPT maintains otherwise. "Antepartum care includes the initial and subsequent history, physical examinations, recording of weight, blood pressures, fetal heart tones, routine chemical urinalysis, and monthly visits up to 28 weeks gestation, biweekly visits to 36 weeks gestation, and weekly visits until delivery," CPT states. "Any other visits or services within this time period should be coded separately." In addition, the AMA has stated that the ob global package does [...]
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