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pre op

Annie Posted Tue 08th of March, 2016 15:21:28 PM

When a OB patient comes in for Pre-op is this billed as a regular office visit or as part of their ob visits?

SuperCoder Answered Wed 09th of March, 2016 03:14:17 AM

Hi Hogan,

The pre-op for a planned c-section would be included in the global fee. ACOG advises that pre-operative counseling including rationale for c-section is an included intrapartum service.
There are other different scenarios to bill for pre-op visit.
Firstly: If the pre-op is complicated care, for example pre-labor and admitted to observation, it is separately reportable with the observation E/M codes. Modifier 24 is needed to indicate these encounters are unrelated to the global maternity package.
Secondly: If your pre-op visit is covered by global maternity care (antepartum care, delivery, and postpartum care) then check with your specific third-party payers before reporting the global OB package, as payer policies on what is included in the global package may differ.
Thirdly: If pre-op is other than OB visit, for example any fracture during pregnancy or trauma, then it will be billed as regular office visit with modifier 24.

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