Wiki Medicaid OB

[Jamiemrph485]

Patient comes in 1 week after delivery for a BP check due to severe pre-eclampsia. Can we bill a typical office visit since medicaid patients visits are billed individually. I feel like we can as long as the documentation is there but my dr didn't think she would be able to?

 

[mcnaryk]

Patient comes in 1 week after delivery for a BP check due to severe pre-eclampsia. Can we bill a typical office visit since medicaid patients visits are billed individually. I feel like we can as long as the documentation is there but my dr didn't think she would be able to?

I think in this case your doctor is correct: the BP check would be part of the global package for the delivery and not seperately billable. I think because she had the pre-eclampsia during the pregnancy (known condition) and the doctor wanted to follow-up to make sure it was resolving after delivery, it would be part of the normal postpartum care for that patient's pregnancy.

 

[Jamiemrph485]

In our state we can not bill globally to medicaid we do each visit individual that is why i feel like i could bill this as office visit

 

[Bready]

With Texas Medicaid we are allowed two postpartum visits. If this were my patient, I would code 59430; V24.2.