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OBGYN Global vs. itemization question

When we itemize out a patients antepartum care when they were seen less than 4-6 times, per coding guidelines, we would bill out an office visit per visit and any other services that were done at the time of service.

Since global antepartum billing includes all services related to pregnancy, we would just bill the global code, however once you itemize, shouldn’t you bill out all services performed (UA’s, etc)?

I have insurances that are denying the UA’s stating they are part of the global for ob but we are not billing globally. I cannot find any information to support this for appeals.

Any information would help.

Thank you!

Casey

Medical Billing and Coding Forum