We have some colleagues debating on this. If most of your patients are seen for complications or are at higher risk and most of their visits are billed to insurance with an E/M (some cover these and don’t require you to bill out at time of delivery) how are you handling global? Since some of these patients have zero routine visits at the time they deliver because their complications or high risk visits were billed and paid are you splitting the global since there are no routine visits? ex 59410, 59515 etc… or are you counting the high risk visits as prenatal even though they were paid to equal the 10-13 visits allowed by most carriers.