Results 1 to 3 of 3

Diabeties - OB provider

  1. #1
    Post Diabeties - OB provider
    New Call-to-action
    Can an OB/GYN Physician bill separately for insulin managment of a Diabetes patient she is following for OB Care? Pt is Medi-cal eligible. Please let me know the right code if billable.

  2. #2
    Normally, yes. An OBGYN can bill for the extra visits generated by a complicated pregnancy. How to bill is carrier specific. Some carriers want you to bill the global OB code at the end of the pregnancy with a 22 modifier. Some carriers want you to bill for visits exceeding 13-14. Some carriers want you to bill for visits occuring more frequently than the normal monthly, bi-weekly, and then weekly prenatal schedule. You need to check your carrier rules.

    Check the Medi-Cal web site for their complicated prenatal care guidelines.

    Becky, CPC

  3. #3
    Columbia, MO
    You cannot bill the visit as separate from the OB global. As stated in the previous response you may be able to get extra days for the global due to high risk. How to code is dependent on whether this patient was a diabetic prior to becomming pregnant or is this gestational diabetes. look under 648 for the apropriate codes. These code will be first listed and you can use the V code for supervision of high risk pregnancy second.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. New born born to diabeties mother
    By Saipa in forum Outpatient Facilities
    Replies: 2
    Last Post: 01-20-2014, 06:38 PM
  2. New Provider
    By AprilSueMadison in forum General Discussion
    Replies: 2
    Last Post: 09-10-2013, 01:16 PM
  3. can the rendering provider and referring provider be same
    By arunp_001 in forum Medicare Regulations
    Replies: 2
    Last Post: 03-02-2013, 12:15 PM
  4. Actual Provider Vs Billing Provider
    By YesicaRuedas in forum Billing/Reimbursement
    Replies: 1
    Last Post: 02-27-2013, 03:02 PM
  5. New Provider
    By bmanus in forum General Discussion
    Replies: 0
    Last Post: 09-13-2012, 09:33 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.