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collegial support needed!

I work in a facility that provides prenatal and postpartum care, but does not do deliveries.

Problem: I have a non-coder administrator who insists that the first three global routine OB visits should be billed with 050_F and an E&M code. :confused: My understanding is that once the prenatal flowsheet starts, only the global code is used, unless the patient comes in with a complication in which case an E&M code without the global code (050_F) is used. E&M codes are only used when a routine OB patient is seen for a total of 1, 2 or 3 visits during the entire pregnancy.

Please reply to this post with:

  1. The administrator is correct.
  2. The CPC (me) is correct.

Any comment or guidance is always appreciated!

Laura

Medical Billing and Coding Forum