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antepartum visits

Vangie Posted Thu 12th of May, 2011 15:56:47 PM

Help?

I code for OB outpatient clinic.

A patient came into the office and I did not charge for the initial OB visit. However this patient had 3-4 more visits after the initial visit and she had a spontanous abortion on the fifth visit.

Do I count this as part of the outside the global ob package?

Eventually, she was transferred to the hospital and D&S was done for incomplete abortion. She was charged a 59812. Does this code only cover the D&S and does that include the antepartum visits?

Please help>>>>

SuperCoder Answered Fri 13th of May, 2011 19:07:22 PM

According to CPT instructions preceding the abortion codes (59812-59857), the “medical treatment of a spontaneous complete abortion is reported using the appropriate E&M codes.”

...
Therefore, for the hospital care, you would report an initial hospital care (99221-99223) code and a discharge code (99238-99239).---Not applicable in your case as you code for OB outpatient clinic;
...
For the prenatal care, report Outpatient E&M codes if you saw the patient for 1-3 prenatal visits... Not applicable in your case;
...
and 59425 if you saw her for 4-7 visits...YOU SHOULD CODE THIS;
...
You should also report an E&M code for the postpartum visit...Not applicable in your case;
[The postpartum care code may not be understood by the payer in the absence of a delivery charge.]

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