Results 1 to 2 of 2

OB/GYN took over delivery from FP MD

  1. #1
    Default OB/GYN took over delivery from FP MD
    Medical Coding Books
    We say a patient through her prenatal care & she went into labor at 35 weeks. Our FP MD on call went to the hospital for the delivery. He also asked another one of our MD's to standby for the baby because it was early.
    During the delivery, the OB/GYN was called, and he used a mightty vac to deliver the baby.
    How do I code this?
    Can our MD charge the hospital admit because he didn't actually finish the delivery?
    Can I charge a stand by code the our 2nd MD along with the infants Admit H&P? Do I need modifiers?


  2. #2
    This happens with our FPs quite a bit. The FP bills for prenatal care (using the last prenatal visit before the admit as the DOS). If the documentation supports an initial hospital visit, that it billed separately. Some insurers deny so we appeal with documentation showing that neither the FP nor a partner delivered the patient, but care was transferred to an OB.
    We would bill the stand-by service & 99431 for the other FP, unless other resuscitation/critical care codes were billed.

Similar Threads

  1. Replies: 1
    Last Post: 08-12-2015, 06:19 AM
  2. Delivery
    By PamMasonHBA in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-30-2015, 10:28 AM
  3. PCP & OB/GYN for delivery
    By Emmy1260 in forum OB/GYN
    Replies: 2
    Last Post: 08-14-2013, 03:41 PM
  4. OB delivery
    By Heidi Kandilas in forum OB/GYN
    Replies: 1
    Last Post: 08-12-2013, 04:00 PM
  5. Replies: 3
    Last Post: 12-22-2011, 08:58 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.