Ob-Gyn Coding Alert
Conquer Your Ob Complications Coding
Question: Georgia Subscriber Answer: If the complication required extra work (such as a third- or fourth-degree repair, or uterine atony after cesarean), you should report the main procedure code (such as 59510, Routine obstetric care including antepartum care, cesarean delivery, and postpartum care; or 59400, Routine obstetric care including antepartum care, vaginal delivery [with or without episiotomy, and/or forceps], and postpartum care) and append modifier 22 (Increased procedural service). You should be able to explain the need for this modifier. Heads up: When billing for complications of the delivery, you want to make sure you are using diagnosis codes in the 641-677 series. For example, if the patient's uterus became inverted immediately after delivery you should report 665.22 (Inversion of uterus; delivered, with mention of postpartum complication).
Ob-Gyn Coding Alert
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Include This in Your Laparoscopic RSOs
Question: Our ob-gyn did a laparoscopic right salpingo-oophorectomy (RSO) with excision of small bowel lesion [...] - READER QUESTIONS :
Tackle This Split Postpartum Care Scenario
Question: If an ob-gyn (who is not part of our practice) bills 59515 and does [...] - READER QUESTIONS :
Check Payer for Cord Blood Collection
Question: My ob-gyn did cord blood collection. I have these codes for the procedure: S2140 [...] - READER QUESTIONS :
Want to Bill Prolonged Time? Read This First
Question: If the ob-gyn spends a prolonged amount of time with the patient during a [...] - READER QUESTIONS :
Don't Fall Into 'Repeat Anatomy' Trap for Ob U/S
Question: My ob-gyn is performing ultrasounds for reasons like "repeat anatomy." In other words, he's [...] - READER QUESTIONS :
Get Paid for Pessary Insertions With This Strategy
Question: Recently, we have noticed our payers aren't paying us for pessary insertions. We bill [...] - READER QUESTIONS :
Conquer Your Ob Complications Coding
Question: How should I report a complication during a vaginal and/or cesarean delivery? Georgia Subscriber [...] - READER QUESTIONS :
Try Your Hand at This Adhesions Lysis, Appendectomy Scenario
Question: My ob-gyn documented the following op note: "Omental adhesions made visualization of the pelvis [...]
