SStevens
Contributor
Besides the obvious, I am looking for examples of when you would not charge the prenatal visit and charge a level instead. For example OB pt in for scheduled prenatal and clinic note states;
10w Gestational Age: 10w 1d Pt had some spotting and cramping this morning but now has gotten better. ,CMA
Patient presents with cramping and some bleeding. She continues to have anxiety and depression.OBJECTIVE: Uterus not palpable. No fetal heart tones heard. Ultrasound was done which confirmed fetal viability. ASSESSMENT: Anxiety and depression. Threatened miscarriage PLAN: Decreased activity. She is to call should she experience heavy bleeding or severe cramping. Recheck in one week. Celexa was renewed.
Charging a level vs the ob global seems to be a very grey area for me any help would be appreciated. Typically I dont charge levels until the end and go back if the pt is over what is allowed in the global.
Sheri Stevens
Coding Analyst, CPC
651-982-7529
651-462-9152 Fax
Never use a hammer to swat a fly off someone's head.
10w Gestational Age: 10w 1d Pt had some spotting and cramping this morning but now has gotten better. ,CMA
Patient presents with cramping and some bleeding. She continues to have anxiety and depression.OBJECTIVE: Uterus not palpable. No fetal heart tones heard. Ultrasound was done which confirmed fetal viability. ASSESSMENT: Anxiety and depression. Threatened miscarriage PLAN: Decreased activity. She is to call should she experience heavy bleeding or severe cramping. Recheck in one week. Celexa was renewed.
Charging a level vs the ob global seems to be a very grey area for me any help would be appreciated. Typically I dont charge levels until the end and go back if the pt is over what is allowed in the global.
Sheri Stevens
Coding Analyst, CPC
651-982-7529
651-462-9152 Fax
Never use a hammer to swat a fly off someone's head.