1. It's better to use a V22.0 or V22.1, whichever is appropriate, but the V22.2 will work if you have no other choice. Depending on your visit situation, if other problems were addressed at TOS, you would probably use the other dx as primary & list the V22.2 later in your order. I'm assuming here that you're billing outside the global OB care codes for whatever reason. If the viisit occurs during the normal OB care, then the global code applies and choosing the correct V22.x code is an internal thing and isn't being billed to any carrier at this point. My OB docs always circle the V22.2 on their encounter forms. It's a lazy, quick dx to use but won't matter until delivery anyway, so it's not a big deal.
2. Not quite sure what you're asking here. Are you asking if the visit should have been billed separate from the global OB care? It's sounds like that was a possibility, but more info is needed--was the visit recorded on the prenatal visit sheet? Did the visit for pelvic pain occur during a regularly scheduled OB visit? If the answer is yes to both those questions, then the provider may have felt the visit was part of the global OB care. Getting paid for visits over and above the normal antepartum care is largely dependent on the insurance carrier rules, too.
I hope that info helps a little.
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