I am still relatively new to the OB-GYN coding and this may be a dumb question. When does OB care go from global to split?
For example: Patient is seen at our office from the start of her pregnancy. We saw her for the history with a nurse and 2 antepartum visits with the physician under insurance #1. Patient continues the rest of her pregnancy and delivers under insurance #2. (two different insurance companies, not just a plan change). Patient has not seen any other provider for this pregnancy.
I know that we would bill the history, as well as 2 E/Ms for the physician visits to insurance #1. What would we bill to insurance #2? Would we be required to bill 59426 (or 59425 depending on number of visits) and 59410 or can we bill global OB to the second insurance (59400)?
What confuses me is when the first 3 visits are split out seperately, do they prevent us from billing global OB or is it anything over the 3 visits that constitutes global? The 59400 states it includes antepartum visits, but doesn't say ALL antepartum. Thanks for any input/clarification!
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