Wiki Hospital Care during Global Prenatal

[sarahpoe]

This pateint was seen in our office for 6 routine prenatal visits. She was then admitted to our hospital @ 27 wks for placenta previa, and was hospitalized until delivered via C/S. Pateint was seen in the hospital 5 times before her C/S.Patient has global ins carrier (BCBS). Do I need to append modifier -24 to initial/each subsequent hospital visit since this was not routine prenatal care. Please help.

My instinct is to bill 59425 for the 6 routine visits in our office.
Then Hospital E/M below
06/20/2013 99222-24 dx 641.13
06/21/2013 99232-24
06/24/2013-99232-24
06/25/2013-99231-24
06/27/2013-99231-24
Then C/S
06/28/2013-59514 (C/S only because PNC was itemized due to In patient status)

Then 59430 at final Post partum in office.

My brain is fried on this one. Any suggestions will be much appreciated!!!

Sarah P, CPC

 

[Thouvenel]

The 24 modifier isn't necessary. Bill out the hospital visits as listed. You won't be paid for any visits on the day of delivery as this is considered part of the global, but you will get paid the delivery. Since you are expecting the mother to return to your office bill 59515 for the C/S and PP appt.