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Ob-Gyn Coding Alert

Here’s How You Can Declare Victory Over Vulvar Lesion Claims
Contemplating an integumentary code? Avoid making this $139 mistake. When you're deciding... Read more
Preventive Medicine:
Use CPT®’s Time Rule for Prolonged Preventive Services G Codes
Hint: You must clinically valid reason for the extra time. If your ob-gyn attempts to bil... Read more
Think You Can’t Use Global Codes for Late-Term OB Care Coding? Think Again
Here's why checking payer policies is key. You know that you should report antepartum car... Read more
You Be the Coder:
Hernia Repaired at the Same Time as a Cesarean
Question: Our doctor did a cesarean on a patient and noticed a hernia that he repaired whi... Read more
Reader Question:
When Procedure Converts, Report the Final Code
Question: I know that the code for the treatment of ectopic pregnancy is 59150 when done l... Read more
Reader Question:
MACs May Give You a Deadline Reprieve
Question: We have a few claims under medical review, and when we went to send the backup d... Read more
Reader Question:
Here’s Why the Scar Revision Location Matters
Question: The patient had the following surgery: Total Abdominal Hyster­ectomy (TAH), rig... Read more
Reader Question:
Medical Need Matters Most for Surgical Assistants
Question: When it comes to assisting (Gyn or C-Section) surgeries — does it matter if th... Read more
Reader Question:
Was the Dyspareunia Injection a Trigger Point? Find Out
Question: My doctor injected a local percutaneous injection for dyspareunia. What would b... Read more
Reader Question:
Simplify This Simple Skinning Vulvectomy
Question: My ob-gyn documented the following: Attention was drawn to vagina. The areas of... Read more
Reader Question:
Break Down These Inpatient Initial Care Codes
Question: Can you use inpatient initial care codes 99221-99223 more than once in the same ... Read more
Reader Question:
Sort Through These 2 Hour, 3 Hour Glucose Test Codes
Question: I'm trying to figure out how to bill for this Glucose 2 hour test... Read more
Reader Question:
Code Excised Lesions Based on Diameters
Question: My ob-gyn documented this: Dx: Multiple Vulvar Lesions: Pt had vulvar ... Read more
CCI 25.0:
Adhere to These Active Surgical, Ultrasound, and E/M Edits — Or Face Denials
Note the 58542, 58558 modifier indicator change. As is typical of the first round of edit... Read more
CERT Report Says 7.7 Percent of Ob-Gyn Visits Were Paid Improperly
Ob-gyn lab claims have a higher 24.9 percent error rate. Your ob-gyn practice is probably... Read more
Check Out the Coding Errors That CMS Evaluated
CMS identified $31.6 billion in total improper payments among providers during 2018, and b... Read more
Heads up: RACs List of Open Issues Target Modifier 57
You probably use this modifier now and then – find out what's under review. If your ob-... Read more
Reader Question:
Perfect This Laparoscopic Pelvic Lymphadenectomy Scenario
Question: I am attempting to understand the issue of laparoscopic pelvic lymphadenectomies... Read more
Reader Question:
How to Solve This Cervical Laceration Repair Issue
 Question: A patient had a vaginal delivery. One hour later she was having a PP hemor... Read more
Reader Question:
Butting Heads With Your Physician? Do This
Question: I have a doctor that wants to see in writing where she has to document anywhere ... Read more
You Be the Coder:
Fetus 7th Character for ICD-10-CM Codes
Question: Please help me figure out the correct application of the 7th character in this c... Read more
Start the New Year by Perfecting Your Global Maternal Care Packages' Start Date
Hint: You should wait until the next full visit in most circumstances. So your ob-gyn dis... Read more
Prevail Over These Prolapse Claims by Following 3 Steps
Key: Highlight your ob-gyn's approach. If urogynecology seems like difficult coding terri... Read more
Knockout Modifier 59 Mistakes Before They Happen
Follow this ob-gyn example to see what's both right and wrong. You've figured out all the... Read more
Reader Question:
End the 99000 Debate Once and For All
Question: Our OB/GYN group is under new management, and our new manager is insisting I can... Read more
Reader Question:
Don't Let Holiday Scheduling Put a Damper on Your Spirit
Question: Our six-clinician practice closes on major holidays, but we still have a rotatin... Read more
Reader Question:
Remember the Overpayment Clock Ticks Is Ticking
Question: If we realize we've received overpayments from CMS, what are the rules for retur... Read more
Reader Question:
Improve Your Coding Health with This New Flu Vaccine
Question: It seems like every year the AMA adds yet another CPT® code for a flu vaccine. ... Read more
Reader Question:
Look to Code First Note in This Type 2 Diabetes/UTI Encounter
Question: What is the correct way to code for type 2 diabetes and a urinary tract infectio... Read more
You Be the Coder:
Locate Your Leukorrhea Code In the ICD-10 Manual
Question: Is N98.8 the best ICD-10 code to report for leukorrhea? SuperCoder Subscriber ... Read more