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Diabetic counseling for OBs – payment outside the global package?

I’ve researched this quite a bit on the internet and AAPC forum. I’m hoping to find out if there is an OBGYN clinic who has been successful at receiving additional reimbursement for Diabetic counseling to an OB patient. Our OBGYN clinic would like to institute diabetic counseling to diabetic patients with the NP who is part of the OBGYN clinic. This would not be a service as part of their routine OB care, and would be scheduled specifically for counseling. I’ve seen options of waiting until the patient delivers and then billing an E&M if they exceed the routine 13 visits. I’ve also seen options for billing G0108 if 30 minutes of counseling is provided and billing that at the time of service. Another suggestion was bill and E&M with a -25 at the time of service. Anyone have success in billing one of these methods out of the OBGYN clinic?

Thank you
April Rader, CPC

Medical Billing and Coding Forum