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Marie Posted Tue 06th of October, 2015 13:04:27 PM

When we have ob's that are not continuing care with us and have only had three visits to charge out, we need help in coding that first NOB visit. We use the ACOG antepartum record flow sheets for pregnancy. When charging out visits, if the patient has less than 4 visits, how do we calculate the level of service of these visits. The main question is where do we gather the ROS and HPI for instance in a NOB for the level of service from this form. ACOG seminars say the usual correlation of the initial visit is suggested at 99204 or 99215. Just need justification for this. Thank you.

SuperCoder Answered Wed 07th of October, 2015 04:45:14 AM

Thanks for your question

You will code these three visits with E/M codes. If the patient is new for NOB visit, then you will use 99201-99205 and other two OB visits will code as an established patient with 99211-99215. If the patient is established then code first visit with established office visit codes 99211-99215. To code E/M visit, use ROS and HPI for current visits.

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