Results 1 to 2 of 2

Ob Post-op/global Days

  1. #1
    Madisonville Pennyrile; KY Code Miners
    Default Ob Post-op/global Days
    Medical Coding Books
    Question on OB patient post-op visits. How many visits do you give to an OB patient after they have had the baby? There is no global days on deliveries. My ACOG book states that the normal is 1 free visit for a vaginal delivery and 2 free visits for a cesarean section. We have adopted a policy where I work that everyone gets two visits no matter what. But the problem I have been running into is the doctors are bringing the cesarean patients back in more than the free two visit limit to check their incision. I have one doctor that is giving me trouble about our internal policy. I would just like to find out what other places are doing. I've always thought a cesarean should have a global peroid, but it doesn't.
    Charlotte Lynn, CPC, CPC-H, COBGC
    Baptist Health Madisonville Women's Care
    Madisonville Pennyrile Chapter
    Madisonville, KY

  2. #2
    The standard global package for a vaginal delivery is 6 weeks. In that time period if the patient delivers vaginally, only 1 visit is normally required, the one at 6 weeks. After a cesarean delivery, however, at least 2 visits are required, one soon after delivery to do a routine wound check and one a 6 weeks for the rest of routine postpartum care. But there is no requirement that limits the number of visits the physician believes are necessary during this time frame. Often, as you have pointed out, the physician wants the patient to be seen more often than the usual "limit" but unless the patient is being seen for a complication of the delivery, the visit would still be considered normal postpartum care and should not be billed as an additional visit.

    Melanie Witt, RN, CPC-OGS, MA

Similar Threads

  1. Global Days
    By snyderk in forum General Surgery
    Replies: 2
    Last Post: 08-25-2011, 11:21 PM
  2. Global Days
    By moricecrys in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-10-2009, 03:04 AM
  3. Global Days
    By barbacasec in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 12-10-2008, 02:45 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.