Ob-Gyn Coding Alert
Reader Question:
Surgery Pre-Work Includes Informed Consent
Published on Mon Jun 13, 2016
Question: Patient came in for routine prenatal care visit. She knows she wants a tubal ligation at time of delivery. The physician discussed the procedure with her and also got the consent signed at this visit. Can we bill separately for this or is it part of the “prenatal visit?”
Kansas Subscriber
Answer: No. Informed consent is part of every surgical code’s pre-work and you will get paid for the tubal separately. Also, discussion with the patient of contraceptive options after birth is part of the expected antepartum counseling, per the American Congress of Obstetricians and Gynecologists (ACOG) perinatal guidelines.
Related Articles
Other Articles in this issue of
Ob-Gyn Coding Alert
- ICD-10:
Familiarize Yourself With These Five Obstetric Areas Changing October 1
You’ll make a new distinction between ectopic and molar pregnancies. Last month, you learned about [...] - Gynecology:
Vexed by Vaginal Cuff Repair Claims? 3 FAQs Will Clarify
Find out what colporrhaphy code you’ll use for an injury repair. The key to coding [...] - Modifiers:
4 Tips Simplify How You Should Use Modifier 62
Here’s why your documentation needs extra attention. When two surgeons work together to perform one [...] - You Be the Coder:
Seventh Character ICD-10 Codes for Ob Patients
Question: When adding the 7th character on OB codes, where it states “0 not applicable, fetus [...] - Reader Question:
Divide the Line Between Missed, Incomplete Ab
Question: Patient comes into the office for an ob ultrasound and the impression is an incomplete [...] - Reader Question:
High-Risk Medications During Pregnancy, Use These Codes
Question: I need help locating the iCD-10 codes for use of high-risk medication during pregnancy. What [...] - Reader Question:
Examine This Insertion of Catheter
Question: A physician performed a rectus fascia pubovaginal sling for incontinence and also placed a suprapubic [...] - Reader Question:
You Need Proof For Modifier 82
Question: Is there a difference in the reimbursement of procedures for modifiers 80 (Assistant surgeon) and [...] - Reader Question:
Repeat Pap Plus Urinary Tract Infection
Question: A Medicare patient who is high risk due to sexual behavior came in for her [...] - Reader Question:
Surgery Pre-Work Includes Informed Consent
Question: Patient came in for routine prenatal care visit. She knows she wants a tubal ligation [...] - Reader Question:
Code This Wound Exploration, Fascia Endometrioma Removal
Question: I need help locating the right CPT® code. Procedure: old incision was incised on the [...]
View All
