Wiki Vag Delivery

[jessmtxstate]

A patient was 22 weeks pregnant and had to terminate the pregnancy due to multiple fetal anomalies; my physician delivered the fetus vaginally in the hospital. The patient was only seen 3 times in our office for prenatal care. The physician wants me to bill out CPT 59400 (routine obstetric care including antepartum care, vaginal delivery, and postpartum care). I think we should bill out the appropriate E\M code for the three office visits and 59409 (vaginally delivery only). If anyone out there has any comments or advice to share with me I would great appreciate it.

 

[MBass]

Delivery

You can only code the global 59400 if there was 4 or more antepartum visits.
You are right, you should code the 3 visits out with appropriate E/M and delivery only 59409 and postpartum only 59430 if he performs the postpartum exam.