-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki OB pt seen for OB problem but not a scheduled OB visit
- Thread starter hudsondna
- Start date
Lisa Bledsoe
True Blue
Here's the way I understand it...someone please correct me if I'm wrong!
If the patient is seen for a non-ob problem (i.e. URI), you code separately for that visit with 465.9.
If the patient is seen for a complication of pregnancy and has more visits than the "usual" 13, you can code those out separately with the complication dx.
I really want to hear other views, as I'm not an OB/GYN guru!
If the patient is seen for a non-ob problem (i.e. URI), you code separately for that visit with 465.9.
If the patient is seen for a complication of pregnancy and has more visits than the "usual" 13, you can code those out separately with the complication dx.
I really want to hear other views, as I'm not an OB/GYN guru!
ARCPC9491
True Blue
Help! A patient came in for an ob related problem but not on her scheduled ob visit. Can I bill for this ov seperately?
Also when a pt has a issue complicating pregnancy can those visits be billed seperate?
Thanks for any help.
I'm not an OB/GYN guru either, but here's my 2 cents:
Let's take a look at a global code - say your typical vaginal delivery including all the care - cpt 59400
this code includes routine "biweekly visits to 36 weeks gestation", "monthly visits up to 28 weeks gestation", "weekly visits until delivery"
Keep in mind the first word of the lay description is routine
Anything not routine, outside the parameters specific to the global codes, requiring a problem-oriented E/M service, should be seperately billable