If this is a new problem and additional work up was planned ( U/S) then you have your number or diagnosies/treatment options. If you use the Marshfield tool or something similar 4 points,
1 point for data. I would go with low risk unless the obese patient has problems like HTN, High blood sugar or other obesity realated illness (systemic syptoms) that will require additional monitoring/treatment. She may become a moderate to high risk at the preganancy progresses but at this visit nothing is documented, besides BMI, to indicate additional provider work, like referral to dietician, or counseling for weight loss etc.
BUT it is my understanding that OB visits are not separately billed and ar bundled with the delivery??
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