Wiki New OB Visit & 59426

[kdabis808]

Hello,
I just started doing bililng for a new OBGYN. He seen patient as a New OB, and then seen patient six visits after. Patient delivered yesterday but he was not there to deliver. Would I still be using the new E/M code for the first 3 visits and then the 59425-59426 for the remaining? OR just 59426 for all 7 visits (59426 x1 unit).

Also does 59426 include that first initial visit?

Any help/guidance is appreciated! Thank you!

 

[csperoni]

Here's a good starter AAPC article about global maternity billing:

https://www.aapc.com/blog/25857-from-antepartum-to-postpartum-get-the-cpt-ob-basics/

If on the initial visit, the obstetrical record was started, this is included in the antepartum care, 59426.
If you are billing or coding for an ob/gyn, you should familiarize yourself with the policy for your practice's various insurance carriers. Even if you provide all services (antepartum, delivery & postpartum), there are some carriers that want the billing split.