OB visits for medicaid patients

Jamiemrph485

Networker
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what do you bill for a OB visit for a patient with no complications. do you use the ACOG prenatal flowsheet? Currently we bill a 99213 but I am questioning the MDM if the patient is having no complications?
 

Kholloway

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Location
Orlando
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We do not bill OV unless it is outside of maternity related issues. For general OB checks we bill "H1000 - Prenatal care, at-risk assessment"

Hope that helps
 

Jamiemrph485

Networker
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Kentucky medicaid requires us to bill the prenatal visits individually, so we have to use the 99212, 99213 or 99214.
 

Annmarie4412

Networker
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Location
Bristol, VT
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Vermont

In Vermont, we use a placeholder for all OB visits and bundle it, unless the global is broken, then we bill per number of prenatal visits.
 
Messages
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Location
Franklin, TN
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In Tennessee the first office visit to confirm pregnancy is an E/M visit. The next appointment to begin the flow sheet is 0501F then each visit after that until delivery, if it is related to pregnancy follow up of 0502F.

Krystal Ybarra, CPC-A
 
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