obgyn coding

  1. M

    Wiki Annual Physical Exam & renewal of birth control

    I have a question, My OB providers see a lot of patients for Physical exams and then they will also renew patients birth control as well. My question is is it appropriate to bill 9938-9939 with also an e/m with diagnosis Z30.41? I thank you in advance.
  2. S

    Wiki Hysterectomy & Myomectomy

    I am far from an expert and actually very new to OBGYN specialty. I have a surgery that I am unsure of which CPT codes are appropriate and any advice would be appreciated. Case: Pre-procedure diagnosis: 1. Abnormal uterine bleeding 2. Dysmenorrhea 3. Uterine fibroids 4. Pelvic pain...
    • SDELOSSANTOS1
    • Thread
    • coding gyn hysterectomy obgyn obgyn coding surgery
    • Replies: 5
    • Forum: OB/GYN
  3. M

    Wiki Colposcopy Coding Help

    Hi all I am still new to OBGYN coding, however, I have a provider who did a Colposcopy on a patient but is using B97.7 as the primary dx. I know that DX is not able to be primary but this patient has had 2 PAPs the last 2 years and both came back normal except this is the SECOND year in a row...
    • Michael0630
    • Thread
    • colposcopy obgyn obgyn coding
    • Replies: 1
    • Forum: OB/GYN
  4. H

    Wiki Use of Z37.* outcome of delivery codes on subsequent E/M visits

    Hello! Regarding Z37.* outcome of delivery codes, ICD-10-CM Guidelines state "A code from category Z37, Outcome of delivery, should be included on every maternal record when a delivery has occurred. These codes are not to be used on subsequent records or on the newborn record." While ICD-10-CM...
    • heinam
    • Thread
    • obgyn coding outcome of delivery
    • Replies: 1
    • Forum: ICD-10
  5. A

    Wiki CPT 87210 Wet mount (vaginal) with KOH done under PPM certificate by MD

    I have just been informed my the MD, OBGYN that his colleagues are getting paid for a 87210 and 87210 with 59 modifier. As I read the definition - both the wet mount looking for bacteria, fungi etc. and the KOH are ALL under one code and cannot append a 59 modifier??? Anyone else getting paid...
  6. R

    Wiki need help with surgery cpt codes

    Pre-Op Diagnosis: pelvic fluid collection, failed IR drainage Post-Op Diagnosis: multiple adhesions with bilateral hydrosalpinx Procedure: diagnostic laparoscopy converted to exploratory laparotomy with lysis of adhesions, bilateral salpingectomy, appendectomy, chromopertubation Need help with...
  7. H

    Wiki Retained POC After Elective Termination

    Hello ! We have a patient that had an elective termination of pregnancy at an outside clinic. She then came to our OBGYN office with retained products of conception and the doctor performed an outpatient suction D&C. I am having a hard time justifying which code to bill. I do not believe the...
    • HayleeO
    • Thread
    • coding questions obgyn obgyn coding
    • Replies: 3
    • Forum: OB/GYN
  8. B

    Wiki Medicare 59400 with mod 22

    Hello, I have a question for anyone who can help regarding billing a vaginal delivery 59400 to Medicare with modifier 22. We billed it out with mod 22 attached since primary dx is O09.523 for elderly pregnancy and got this SMARTEDIT rejection back: "SMARTEDIT PATTERN 26411 MODIFIER 22 IS NOT...
    • bonnienorth55
    • Thread
    • delivery medicare mod 22 obgyn coding
    • Replies: 2
    • Forum: OB/GYN
  9. A

    Wiki Help! Enterocele repair performed with 58552 laparoscopy, surgical, with vaginal hysterectomy with removal of tubes and/or ovaries

    Hi everyone. I am auditing a record for a surgeon that performed code 58552 (laparoscopy, surgical, with vaginal hysterectomy with removal of tubes and/or ovaries) and also coded 57270 - repair of enterocele, abdominal approach (separate procedure). There is no mention of an incision being made...
    • aTudor28
    • Thread
    • enterocele repair with hysterectomy laparoscopic enterocele repair obgyn coding
    • Replies: 3
    • Forum: OB/GYN
  10. C

    Wiki IUD Follow-Up Visit

    I work for an OB/Gyn and I have a question regarding follow-up visits after IUD insertion. Scenario: patient returns to practice approximately a month after having IUD inserted for a routine follow-up. If there are no problems reported with the visit, but the provider is checking the device via...
  11. S

    Wiki Coding Well Women visit after Adult Well Visit

    We've been having some issues where Medicaid will only pay for one of the 2 (well women or adult well visit). Is there a way to code so that we can get paid for both on separate dates of service?
  12. Karajag

    Wiki Annual wellness visits w/Commercial ins secondary

    I'm looking for some direction on billing OBGYN annual visits. We have a number of patients that have Medicare primary and Commercial ins as secondary. There is some confusion as to whether we should be billing (for example) CPT 99397 to Medicare, which denies, and then it goes to the...
    • Karajag
    • Thread
    • annual wellness visits medicare billing obgyn coding
    • Replies: 5
    • Forum: OB/GYN
  13. Y

    Wiki nurse dating ultrasound

    need coding help I currently bill for an OBGYN clinic for medical the nurse is performing initial dating ultrasound with no provider in the office (billing 76817 and 76815 with Mod 59) we send the ultrasound to the dr to review and write a report, my question is can i bill with E&M code...
    • ymendez2020
    • Thread
    • obgyn coding ultrasound ultrasound guidance
    • Replies: 9
    • Forum: OB/GYN
  14. Karajag

    Wiki Billing procedures by RN

    Hello! I am looking for assistance in regards to billing for procedures performed by a nurse (RN) in office. I recently started coding for OBGYN and there have been quite a few questions popping up as to whether they are billing out their charges correctly. Unfortunately they have never...
    • Karajag
    • Thread
    • obgyn coding straight cath urine sample
    • Replies: 4
    • Forum: OB/GYN
  15. kdabis808

    Wiki New OB Visit & 59426

    Hello, I just started doing bililng for a new OBGYN. He seen patient as a New OB, and then seen patient six visits after. Patient delivered yesterday but he was not there to deliver. Would I still be using the new E/M code for the first 3 visits and then the 59425-59426 for the remaining? OR...
  16. P

    Wiki CPT 59866 Help

    Does anyone have any insight on whether this CPT 59866 can be billed with place of service 11? We've been receiving denials from both Aetna and BCBS stating Invalid POS. I know this code is not an inpatient only code..
  17. M

    Wiki Complicated IUD Removal

    I hope someone else has come across this situation... One of my Gyn Oncologists removed an IUD that was broken apart and stuck in the patient's cervix. This required the cervix to be dilated and the IUD removed in pieces. I have confirmed that an EUA and cervical dilation are bundled in with...
    • marylee18
    • Thread
    • iud breakdown iud removal obgyn coding
    • Replies: 1
    • Forum: OB/GYN
  18. M

    Wiki Labor Checks Vs. NST

    Hi, So when I was put into this position I had very little training and unfortunately I've had to figure things out on my own. My question is when a provider does a labor check, do I still charge for an NST or is there another code that I need to be using? If they only do an NST I charge the...
    • mllivers
    • Thread
    • help obgyn coding
    • Replies: 7
    • Forum: OB/GYN
  19. M

    Wiki UPT for initial visit

    I have a patient that is global, I charge for the UA but I've never charged for the UPT. Can anyone let me know? Do I need to start charging for it on the fee for service patients too?
    • mllivers
    • Thread
    • obgyn obgyn coding
    • Replies: 1
    • Forum: OB/GYN
  20. M

    Wiki icd 10 obgyn

    Using the Z34.0- & Z34.8-, if a patient had a miscarriage but is now pregnant again, would I use the Z34.0- code or the Z34.8-?
    • mllivers
    • Thread
    • obgyn coding pregnancy
    • Replies: 1
    • Forum: OB/GYN
  21. M

    Wiki CPT Coding

    I have a Makena Injection that was given but the medicine is brought in by the patient do I need to put the j code on the bill? We do charge the injection fee. Thanks!
  22. M

    Wiki Question

    Operative laparoscopy with lysis of omental adhesions and removal of posterior cul-de-sac mass. Would this be coded as 44180 or 58661? Thanks
  23. N

    Wiki MFM Billing for Antepartum Care Only Codes

    My provider is a MFM whom also delivers patients. If my provider delivers the patient, we would bill for the global delivery(antepartum and postpartum). There has been a few instances where the hospitalist will deliver and bill for the delivery. Then the patient will come to our office for...
    • Nsolomon87
    • Thread
    • billing billing compliance deliveries maternal fetal medicine mfm coding obgyn coding
    • Replies: 2
    • Forum: OB/GYN
  24. M

    Wiki OBGYN

    Twin pregnancy, Baby A delivered vaginally, but demised. Baby B, C-section, alive. What CPT codes would you used for delivery? This is global insurance.
  25. V

    Wiki C-Section Assist with Postpartum visit for Infection

    Hello everyone, I have a little bit of a dilemma and I'm hoping that someone can help me out. Here is the scenario: Patient was seen in the hospital for a c-section and my OB assisted. This patient had previously not been seen in our clinic. Patient then comes to our office a month later with...
    • VictoriaOlson
    • Thread
    • alaska coding deliveries infection obgyn coding postpartum
    • Replies: 6
    • Forum: OB/GYN
  26. L

    Wiki Centering Billing/Reimbursement Guide

    Hello, Our practice is looking into the possibility of starting Centering. The providers would oversee the program with our Mid-Wives actually providing the service. We were wondering how we would bill this (as we are looking to use a room in a local hospital, so not our own facility), what CPT...
    • lnfreem71590
    • Thread
    • centering obgyn coding obstetrical obstetrics
    • Replies: 0
    • Forum: OB/GYN
  27. J

    Wiki Experienced OB-GYN coder seeking REMOTE

    I have 9 years coding OB-GYN, claim submission, denials, revenue cycle manangement, etc. and am seeking full time opportunity. Tremendous work ethic, extremely fast learner, leadership qualities. Prefer REMOTE as am located in Montana. Any tips on how to start in REMOTE coding? Should I try...
  28. A

    Wiki OBGYN Facility Fee for abortions and hysteroscopies?

    When an OBGYN provider preforms a D&C or a hysteroscopy in the office, insurance carriers pay less than when performed in the hospital. Shouldn't it be the other way around? Is there an additional code or a different way to bill procedures in the office for a higher reimbursement rate? The cost...
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