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Hospital admit charge in global package?

Josephine Posted Thu 08th of October, 2009 21:43:50 PM

Can you get paid for admitting an OB patient in labor for initial hospital admit if you are NOT performing the delivery?
If so, what diagnosis codes would you use for the admit?
Appreciate any help.

SuperCoder Answered Fri 09th of October, 2009 05:27:24 AM

In this case if the ob-gyn admits the patient to the hospital for a condition and then discharges her without delivery, you can bill for the admission, the subsequent care and the discharge day management (99238-99239, Hospital discharge day management ...). Generally, if a patient is admitted on day one because of premature labor contractions that you were trying to stop and you deliver on day three, the carrier should pay for day one and two outside the package. The payer would not reimburse separately for day three because that was the date of the delivery.
It seems that the patient came due to false labor so we can use 644.1x.


Tara Answered Mon 11th of January, 2010 17:30:11 PM

If OB Dr admits patient in labor (who delivers later) but we did not do delivery or prenatal care previously, is this a billable charge not considered part of OB global?

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