Do you have any guidelines you use from ACOG regarding what is considered opening the Global care package? I'm attempting to start this discussion with my providers and I know ACOG had some information about this before but I can't seem to find it.Depends on what the visit was for and how it was documented. The initial E/M is outside global care if the visit is to diagnose the pregnancy AND the prenatal record is not initiated at the encounter. If the prenatal record was not initiated than yes you can bill the service separately.
We never bill the 'confirmation' visit separate as we always initiate the prenatal record at the 'confirmation' visit.
You would need to use diagnosis code Z32.01 on your claim.