I have a CNM at the practice I code for who supervised a delivery performed by a resident. I can’t locate any guidelines on this and am not sure if supervision of a resident can only be done by an MD. Our MD does supervise most and I use Modifier GC, but again, unsure about the CNM supervising. Any help and/or resources would be appreciated.
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Tag Archives: Delivery
Delivery performed by another physician
Our provider is wanting us to bill deliveries that were done by another physician. He says that he has an agreement with the other physician and is paying him separately. Is this okay to do? If so how do I indicate all of this within the coding. :confused:
Thanks!
Precipitous nurse delivery
How would you code a vaginal delivery where the nurse delivered the baby, the OB was on her way. She did deliver the placenta. I could not find documentation on how to code precipitous labor. Thank you in advance.
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25 week live delivery
Would this be coded as antepartum care and delivery separately? or global with -52 modifer?
Coding mother’s record with delivery prior to arrival
I am needing help please with how to code this with the ICD CM codes. The patient delivered in ambulance prior to arrival at the hospital. When the patient arrived at the hospital the provider repaired the patient’s lacerations and delivered the placenta. I know there is a code for encounter for immediate postpartum care. I am not sure do I use this with the ICD 10 CM codes for the lacerations? But when I code the lacerations it is asking that I code outcome of delivery and the weeks of pregnancy. So I am not sure exactly what to code for the mother’s record?
Global ob delivery with prolonged services
Can prolonged services be billed with a global ob code of 59400?
Thanks!
Getting paid for LARC insertion immediately after delivery?
Will a provider get paid for LARC insertion immediately after delivery? It is my understanding that this was considered part of the global package in the past. Now, I want to make sure in Georgia that it is paid outside of the global. Can anyone assist me? Thanks!!
Repair of Bilateral Fallopian tube tears at time of cesarean delivery
Good Afternoon All – I have this procedure where my surgeon was called in as the other provider who performed the c-section noticed that the patient was bleeding. Repair of the fallopian tube tears was performed. I am leaning towards an unlisted code, but wanted to see if anyone else had any input. Below is the op note.
My thanks for any help on this case.
My urgent consult was obtained from Dr. XXX during urgent primary cesarean section. She says that once she finished closing the uterine incision and had begun to reapproximate the fascia she noticed a moderate amount of bleeding and it was difficult to identify the ultimate source. I did place an Alexis-O retractor to be able to better visualize the uterus and fallopian tubes as well as the bowel. She was found to have a 5×7 left broad ligament hematoma. This was oozing out of a tear near the attachment of the fimbriated end of the fallopian tube to the ovary. Inspection of the left corner of the uterine incision did have some oozing as well with mobilization of the uterine vessels laterally. I did place several figure-of-eight sutures in the corner of the uterine incision. This did dry up the bleeding nicely. The defect in the broad ligament near the uterine ovarian ligament that had been torn was oozing was reapproximated with 2-0 Vicryl. The hematoma was well organized by the time of my exam and did not appear to be enlarging. This was observed for several minutes and did not change.
Attention was turned to the right side. She did have small paratubal cyst as well as some oozing from what looked like a defect of a portion of the fimbriated ends of the fallopian tube on the left side. This was grasped across with a Kelly clamp, just the bleeding portion separate from the remainder of the abnormal appearing fallopian tube. The bleeding portion was clamped across with a Kelly and tied off with a 0 Vicryl. this resulted in hemostasis. The bowel was inspected. It appeared to be without surgical injury. The bowel was packed away. the uterus did appear to be firm after several minutes of inspection, really minimal oozing and no active bleeding were noted. Hematoma appeared to be stable. The case was then turned back over to Dr. XXX.
Physician assisted a midwife during vaginal delivery
Hi All,
We had a physician assist a midwife during a vaginal delivery. Midwife is not from our practice. Should we bill the delivery with the assistant surgery modifier 80 even though technically speaking this is not a surgery rather a procedure?