obstetrical

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    Wiki Coding BMI during puerperium.

    A physician documented that a puerperium patient is obese, and the patient’s chart has a listed body mass index (BMI) score. Can we assign an ICD-10-CM BMI code in this instance or should this never be done for an obstetrics patient? After much confusion, we were finally given an answer...
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    Wiki Coding Unwanted Fertility/Desire for Sterilization

    Hi, I'm looking for guidance on how to code unwanted fertility/desire for sterilization. Many of our providers are using this language in the system to refer patients out for BTLs, but the code it translates to in the system is Z30.2 (Encounter for sterilization). We do not perform these in our...
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    Wiki Baby and Placenta delivered without Doctor present

    If the note states that the baby was delivered by the RN and the placenta was delivered spontaneously and the physician was not present during either, can the hospital still bill a facility charge for the delivery ? If so, what would we bill and couldyou guide me to the documentation to support...
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    Wiki Commercial and Medicaid Maternity Billing

    Hello, We often have patients that have commercial insurance with Medicaid primary for all of their maternity care. If the patient meets the requirements for a global delivery we will bill the global delivery but in this case the patient doesn't have maternity coverage with her commercial...
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    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...
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    Wiki Nitrous use in Birth Center: Moderate Sedation - July 2017 HBM Journal

    In this months journal, the article on moderate sedation calculation excited the birthing center world with the possibility of being compensated for the use of Nitrous for laboring women. Currently patients have to pay out of pocket. While it's a nominal fee, we would certainly like to cut down...
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