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Confused on OB Global

  1. #1
    Question Confused on OB Global
    Medical Coding Books
    I am needing some help understanding the OB global. my main question is when the patient is coming in for the first time, wether established or new pt. will the first OB visit be billed with an E/M code with ICD V72.40, or if the pregnancy is confirmed that same visit do you billed under the global with ICD V22.2? there has been some debate in our practice about this. Any help would be greatly appreciated.

    Ivonne

  2. #2
    Location
    North East Kansas
    Posts
    37
    Default Karen
    The global ob package starts when the actual ob record is started. If a patient comes in and the visit is confirming a pregancy test and the actual ob record has not been started then that visit should be coded as an office visit with the dx of positive pregnancy test.
    Karen Strobel CPC, CPMA

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Arrow
    ACOG just published a statement on this very subject. Here is the link:
    http://www.acog.org/departments/dept...&bulletin=5357
    Lisa Bledsoe, CPC, CPMA

  4. Smile ob global
    karen is correct!

  5. #5
    Default
    Thank you everyone for your help. Thank you Lisa for the website, it completely answered what i was needing to know.

    Ivonne

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