delivery for 18 week still born

rockylopez

Contributor
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10
Location
Pembroke Pines, Florida
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0
physician is dropping vaginal delivery charge for patient that was 18 weeks.
I have been investigating and online it states in order to bill vaginal delivery patient has to be 20 weeks or more. patient was under the ob care with the physician but was only seen once in the ob office. is antepartum billable?
 

natashalage

Networker
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86
Location
Walnut Creek, CA
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I am new to OBGYN but since no replies, I will write my thinking here. I agree that for delivery pt should be at least 20 weeks. For one prenatal visit at your OB office, I would bill as E/M because the very fist possible combo code for prenatal is 59425 but it must have at least 4 visits in total for global prenatal visits. You don't have; therefore, it's just E/M. Let's see what other coders think. :)
 

csperoni

True Blue
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1,477
Location
Selden
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Don't typically code OB, but yes, 3 visits or less is billed by individual E/M codes and not antepartum care.
 

lorilynn7657

Contributor
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You would only bill the single E&M code for the OB visit, then for the delivery, doc can bill the hospital admit with 25 mod and 59414 for delivery of the placenta - but may not bill for the delivery of the fetus.
 
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