It would be considered double dipping. You would only code the problem visit to set out of the OB global from a antepartum visit. If you ever get an audit the documentation of the problem has to support the prob visit.
You mentioned the counting of the office visit. Treat is regular sick visit and have the patient pay a copay at the time of the visit , you may have to explain that since she had a problem and the Doctor adressed it she needs to pay the copay. Remember you would also code the problem dx first then the V22.2 as 2nd.
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