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
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