Wiki Postpartum complications billing

[jessicalynn_90]

We have postpartum patients that are being seen multiple times during the postpartum period (3 or more). All visits are reported with the 0503F but we are wondering if we should be billing regular E&M since some of them could be considered complicated.

When do other providers decide to bill outside of global for additional postpartum care? Is it based on dx code or is it the providers decision?

 

[csperoni]

The determination of whether or not the visit is part of the global maternity care should be based on the documentation.
Is this a nervous first time mother who wants to just be sure everything is OK and everything is OK? Or is the provider treating an infection?
Is this a routine postpartum depression screening given to all patients? Or is the provider treating postpartum depression?
Did the provider discuss birth control options? Or was an IUD inserted?
If the clinician is providing service during the postpartum period that is not included in global maternity care, then yes, that can and should be billed.