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Global OB With Mod or Del with OV charge

  1. #1
    Location
    North East Kansas
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    Default Global OB With Mod or Del with OV charge
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    I have a patient that came in for the intitial OV and the second visit. Then did not come vack until to the office until the del. date. The baby had problems and was stillborn. One doctor here says to charge the global ante/del/postpartum code with a modifier 52. I think I should charge the 2 visits out and charge the del. with postpartum code. How would you code this.

  2. #2
    Location
    Kansas City, MO
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    How far along was the patient?
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  3. #3
    Location
    Greeley, Colorado
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    2,045
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    Quote Originally Posted by Kstrobel View Post
    I have a patient that came in for the intitial OV and the second visit. Then did not come vack until to the office until the del. date. The baby had problems and was stillborn. One doctor here says to charge the global ante/del/postpartum code with a modifier 52. I think I should charge the 2 visits out and charge the del. with postpartum code. How would you code this.
    I would code out the two visits separately and then the delivery w/postpartum 59410.
    Last edited by Lisa Bledsoe; 03-06-2009 at 03:48 PM.
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Default
    you are correct assuming the pregnancy was over 20+ weeks.
    the visit should be changed to regular E&M codes and bill the delivery only code or delivery w/pp care. It is inappropriate to use the modifier 52 since there are is more appropriate way to code this.
    good luck

  5. Default Gwen
    you would code the visits with E/M and delivery with pp (59410)

  6. Default baby
    hi how would you code the baby stillbirth? i know the dx would be 779.9, cpt code?
    thanks

  7. #7
    Default
    59410 if PP care is provided
    656.41, (if after 22 weeks) & V27.1
    if delivery was before 37 weeks
    656.41, 644.21, V27.1
    I do not use the 700.xx series of codes since those are for the infant not the mother. i leave those codes to the Peds doc.
    Last edited by bigredcag; 04-21-2009 at 08:15 PM.

  8. Default
    Quote Originally Posted by bigredcag View Post
    59410 if PP care is provided
    656.41, (if after 22 weeks) & V27.1
    if delivery was before 37 weeks
    656.41, 644.21, V27.1
    I do not use the 700.xx series of codes since those are for the infant not the mother. i leave those codes to the Peds doc.
    Ahhhhh yesh!!! I'm coding for the baby peds md! since baby was admit/discharge same day, would you use those codes? 99234-99236?

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