Since your providers are Inpatient providers, then I assume they are not providing any of the prenatal care.
Originally Posted by hthompson
DELIVERY INCLUDES: Admission history, Admission to hospital, Artificial rupture of membranes, Management of uncomplicated labor, Physical exam, Vaginal (with or without forceps or episitomy) or C-section delivery.
**If a patient is admitted for a complication, but does not deliver, you can use the inpatient E/M codes. (See list of conditions under the EXCLUDES) If they are admitted and subsequently deliver, that will be included in the delivery code.
**If a patient is admitted for induction, that is included in the delivery code.
EXCLUDES: Medical complications of pregnancy:
- Cardiac problems
- Neurological problems
- Premature rupture of membranes
- Pre-term labor
If they provide any of the in hospital post partum care after the delivery, they should be using the delivery w/post partum care codes (59410 or 59515) as they include reimbusement for that work. For perineal lacerations, if they require extensive repair, then you can bill the repair code, otherwise simple repairs are included in the work for the delivery code.
Arlene J. Smith, CPC, CPMA, CEMC, COBGC