Wiki Global & c-section assist confusion

[Jane Schumacher]

What is the proper coding for the following: Dr. X saw the patient for all of the antepartum care. Dr. Y (who is brand new to our clinic) performed a c-section on the patient, and Dr. X was the assistant surgeon.

These docs are both in the same clinic, billed under the same tax ID#. Since this is the case, I don't think splitting it into separate CPTs (antepartum care; delivery; postpartum care) is appropriate. But on the other hand it doesn't seem correct to bill a global charge for the primary surgeon since they did not do the antepartum care.

What is the correct way to bill out this situation?

 

[kslagle]

The antepartum care and the surgery ast is billed to Dr. X,
The csection only is billed to Dr. Y
Postpartum is billed to whoever does the visit.