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discharge part of global labor and delivery

  1. #1
    Default discharge part of global labor and delivery
    Medical Coding Books
    Is the hospital discharge included in the global package of labor and delivery neither the CPT nor the ACOG OB/GYN advise either way:
    The physician delivers an infant and placenta through the uterus and vagina. The physician may elect to assist the delivery with the use of forceps, vacuum extraction, or rupture of membranes. The physician may also elect to do an episiotomy, which is an incision in the perineum to widen the external opening. Episiotomy and laceration repair are included as well. Code 59409 represents the vaginal delivery only and does not include ante partum or postpartum care. Code 59410 covers the vaginal delivery with postpartum care, which includes hospital and office visits following delivery.

    Section Notes - 59400-59410 Vaginal Delivery: Comprehensive and Component Services - (59400-59410)

    Vaginal Delivery: Comprehensive and Component Services

    INCLUDES: Admission history

    Admission to hospital

    Management of uncomplicated labor

    Physical exam

    Vaginal delivery with or without episiotomy or forceps

    Any thoughts or opinions or a place i can look to get a black and white answer. I have 3 OB/GYN's currently we are not charging it out but 1 of them wants to and is challenging as to if it is or is not included

  2. #2
    Charleston, WV
    "...includes hospital and office visits following delivery." The discharge is considered a hospital visit. While it doesn't specifically mention the discharge management, I think that's about the closest you're going to find.

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