Transfer in at 23 weeks? Split global or E/M?

ljhaley@gmail.com

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Hi everyone!
I've read up on splitting the global codes 59425 4 or more, 59426 7 or more, followed by just delivery code, but I guess I need help. Quite often our practice will have a pt tansfer her ob care to us at 23, or 25 weeks. I understand at the end it will be 59426, +del code, BUT For her initial visit to us, can't we bill an new pt E/M (99204) for this visit to establish care? But what to use for dx code? Can anyone give me an answer on this, My ACOG resource isn't helping! GRATEFUL THANKS!
 

sknapp56

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That visit would fall under the OB (59426). It would be like a patient coming to your office for their 1st OB visit it is part of the global package.

Susan Knapp CPC, COBGC
 
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