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52 mod on the OB global package ??

  1. Default 52 mod on the OB global package ??
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    I'm sure this has been asked in the past, but I would like to get a feel for what others are doing in this coding situation.

    If a patient was seen for minimal OB antepartum care, lets say less than 4 visits, should the global OB delivery code, such as 59400 be billed with a 52 modifier? Or should the antepartum visits be billed out seperately as E/M's and the delivery only with postpartum care be billed (59410)?

    Again, I just want a feel for how others handle this type of coding situtation and if you have any resources they would be much appreciated.

    Thank you!!

  2. #2
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    Quote Originally Posted by klove@smdc.org View Post
    I'm sure this has been asked in the past, but I would like to get a feel for what others are doing in this coding situation.

    If a patient was seen for minimal OB antepartum care, lets say less than 4 visits, should the global OB delivery code, such as 59400 be billed with a 52 modifier? Or should the antepartum visits be billed out seperately as E/M's and the delivery only with postpartum care be billed (59410)?

    Again, I just want a feel for how others handle this type of coding situtation and if you have any resources they would be much appreciated.

    Thank you!!
    1-3 visits would be coded with appropriate E/M codes.
    4-7 = 59425
    7 or more visits = 59426
    Lisa Bledsoe, CPC, CPMA

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