Wiki Perinatologist interpreting an OB ultrasound and does consult

[caroline75771]

There are times that our perinatologist while interpreting an OB ultrasound she may consult and manage a patient's on-going risks. How is the best way to code for this? I thought of a 22 modifier on the ultrasound code, but I understand that slows down processing by the insurance company as they usually want notes to acompany the claims. A low level E&M with face to face documented will probably be bundled with the global pregnancy. I'm outta ideas...help.

Thank you!

 

[caroline75771]

ob ultrasound - 2nd request

Does anyone have any suggestions? PLease..
Thank you.

 

[mandi1310]

At our office, we were told that seeing the perinatologist here is not considered routine ob care and that a seperate office visit can be billed out. Usually he selects a 99213 or 99214. Hope that helps.

 

[cjbrock]

We charge the appropriate E&M with modifer 25 and use modifer 26 on the ultrasound charge.

 

[caroline75771]

Thank you!