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How to bill??

  1. Default How to bill??
    Medical Coding Books
    I have a patient that was transferred to another facility OOT due to having severe pre-eclampsia and delivered at 32 weeks by C-section. The patient then came back to our office for her C-section check. Not her postpartum visit, that she will come back for in another 3-4 weeks. How do I bill the C-section check? Doctor is really just checking incision to make sure it is healing ok. Can anything be billed?

  2. #2
    Default Beany
    Wouldnt it still be part of her global period?
    Quote Originally Posted by Beany011178 View Post
    I have a patient that was transferred to another facility OOT due to having severe pre-eclampsia and delivered at 32 weeks by C-section. The patient then came back to our office for her C-section check. Not her postpartum visit, that she will come back for in another 3-4 weeks. How do I bill the C-section check? Doctor is really just checking incision to make sure it is healing ok. Can anything be billed?

  3. #3
    Location
    Madison Area Chapter in Madison WI
    Posts
    114
    Default
    Sorry, but it's included in the global for the C section.
    Happy Coding, Claudia


    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    [email]ccrsconsulting@tds.net
    ccrsconsulting.com - website

  4. #4
    Location
    Greater Portland (Maine)
    Posts
    129
    Default
    The global period only applies to the surgeon performing the C-section. If your doctor did not perform it, he can bill with an E/M. Use an after-care V-code for the diagnosis code.
    RCBartholomew, CPC-H, CEDC

  5. #5
    Default
    code v58.76 99024 for pop.

  6. #6
    Default
    I would agree that you can bill an e/m code since your doc did not do the delivery, therefore, the global billing does not apply. You will also be able to bill the postpartum visit when she comes back.

  7. Smile coding a cesarean wound check
    I don't need a pregancy code with a 5th digit of 4, in addition to the aftercare code?

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