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Complicated OB

  1. Question Complicated OB
    Medical Coding Books
    I am looking for assistance in coding the complicated pregnancy. According to the CPT manual the global package is for "normal" pregnancy. When there are complications, how do you bill for separate visits (unbundled visits)? It appears that the appropriate E/M code would be used with an appropriate ICD-9 code with documentation that this visit is not for routine pregnancy monitoring. I need to know if this is correct and any suggestions for documentation that are necessary.

  2. #2
    Default
    Use V23.89 as Primary DX. You may have to send records, documentation, etc if you are billing both global and non-global. \

    Lavon E Carter, CPC
    Maternal Fetal Associates of Kansas
    lavon.carter@hcahealthcare.com

  3. #3
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default Complicated OB
    You could also use 22 modifier on the global delivery. Kbarron CPC

  4. #4
    Location
    East Stroudsburg
    Posts
    10
    Default
    We start billing individual office visits after 13 prenatal visits with the high risk pregnancy diagnosis. Also make sure that your non pregnancy related visits are billed separately. It may take an appeal but with good documentation you should win.

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