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Thread: Prolonged inpatient stay with delivery

  1. #1
    Join Date
    Apr 2007

    Smile Prolonged inpatient stay with delivery

    AAPC: Back to School
    I am in need of some assistance. I was asked by one of our OB/GYN providers how to code the following scenerio.

    Patient is 26 weeks pregnant and is threatening preterm delivery. Her cervix has started to dilate. The OB and the neonatologist want her hospitalized and on strict bed rest. She ends up staying 4 weeks and delivers the baby at 30 weeks. she is never discharged from the hospital prior to delivery. The OB sees the patient daily while in the hospital. How would you bill for this?

    Your input would is greatly appreciated.

    Thank you
    Vicki W.

  2. #2
    Join Date
    Apr 2007


    Inpatient hospital admission and subsequent visits for care fore complications of pregnancy are not included in the OB global package and should be reported seperately. However, if a patient delivers within 24 hours of admission the services are considered part of the global package.

    With that said I would bill as follows...

    Day 1-Inpatient admit (99221-99223) if your OB admitted the patient if OB did not admit the patient either consult codes (99251-99255) or subsuquent visits (99231-99233)
    Day 2-day 24 hours prior to delivery subsequent hospital codes (99231-99233)
    Day of delivery-Appropriate delivery code

    ICD-9 644.23

    Hope this helps...
    Christina Lee Wagner, CPC, CPC-H

  3. #3
    Join Date
    Apr 2007


    Thanks for your input

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