Although I did not like doing it I did bill for the global b/c not only did ACOG say it was ok. I had my supervisor and another coder working in ob/gyn for years that states that is the way she has always done it also. I am with you though it does not feel right. That is why I have saved that email, just in case someone ever comes back I have my documentation . If you want you could always email ACOG yourself and ask the same question and see if you get the same response.