obstetrics

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    Wiki Solo Nurse Practitioner Obstetric Billing

    Hello, I have an OB/GYN nurse practitioner who will be starting her own stand-alone clinic. She has a contract with the hospital, so they will be handling the deliveries. How do we bill for the obstetric care and antepartum she will be providing?
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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 BPP then NST with E/M and then routine Ob

    This is a group practice – MFM and OBgyn MFM specialist at ultrasound location with unique tax id. Office obgyn is billing at another location with a unique tax id. 1ST ULTRASOUND SITE Mfm specialist interprets BPP BPP score 6/8 -2 for no breathing Recommends NST 2ND OFFICE FOR NST obgyn...
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    Wiki Global Maternity less than 5 visits

    Hi we have some patients who come to our practice to establish OB care for pregnancies. Sometimes, we have patients who we only see for a short period of time before they deliver. My question is, if we have a patient who we have seen since the beginning of her pregnancy but only has 4 visits...
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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 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 Charging ED visit and admission/delivery same day

    Hello all, I have a client (large hospital system) that bills for an ED visit when seen by an OB Triage provider when they are admitted the same day for active labor and delivery occurs. Does anyone know if this is kosher? Wouldn't the "ED"/Triage provider's evaluation that the patient is in...
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    Wiki MVA resulting in the loss of twins at 8mo gestational age

    We are trying to figure out the diagnosis coding for the orthopedic surgeons who were called in to do fracture repair in this scenario: A patient who was 8 months pregnant w/twins was in involved in a severe head-on MVA resulting in multiple fractures and injuries including uterine rupture and...
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