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Pre-OB nurse visit

Melissa Posted Wed 08th of January, 2020 16:11:32 PM
Hello, our OB provider wants to bill for a pre-ob nurse visit with the Nurse or Nurse Practitioner. I am new to Obstetrics and am unsure what is included in the obstetrics package. Any guidance would be appreciated
SuperCoder Answered Thu 09th of January, 2020 09:34:17 AM

Hi,

Thanks for your question.

1. Certain OB/GYN offices offer an earlier "pre-OB" visit to confirm a pregnancy. The patients first visit, after missing her period, to confirm pregnancy might be billed as a E/M office encounter, depending on whether the visit was controlled by history/exam/medical decision-making or by counseling (that is, the level is selected by documented counseling time).

2. As per the NCCI edits, the total obstetrical packages (e.g., CPT codes 59400 and 59510) include antepartum care, the delivery, and postpartum care.  They do not include other services such as ultrasound, amniocentesis, special screening tests for genetic disorders, visits for unrelated conditions (incidental to pregnancy), or additional frequent visits due to high risk conditions.

Hope this helps.

Thanks.

Melissa Posted Thu 09th of January, 2020 09:47:57 AM
So the visit to confirm the pregnancy is not considered part of the antepartum care? Is that correct?
SuperCoder Answered Fri 10th of January, 2020 09:29:52 AM

Hi,

Yes, it is not considered part of antepartum care.

You can refer to below mentioned article for more information.

https://www.supercoder.com/coding-newsletters/my-ob-gyn-coding-alert/obstetrics-3-questions-clarify-your-confirmatory-visit-claims-151425-article

Hope this helps.

Thanks.

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