Ob-Gyn Coding Alert

Learn what clues to look for when reporting 76811 and 76812. Do you know how to report ultrasounds and different-day deliveries? If not, you're not alone. Out experts give you all the answers you need to perfect your multiple-gestation claims. Issue 1: Determine Different-Day Delivery Coding Strategy Occasionally, multiple-gestation babies will be born on different days. "We have seen two delivery days in our office," says Pat Larabee, CPC, CCP-P, a coding specialist with InterMed PA in South Portland, Maine. For example, a patient is at 38 weeks gestation and carrying twins in two sacs. One membrane ruptures, and the ob-gyn delivers the baby vaginally. Two days later, the second ruptures, and the second baby delivers vaginally as well. Solution: You should report the first baby as a delivery only (59409) on that date of service, says Peggy Stilley, CPC, COBGC,ACS-OB, director of auditing services at the American Academy of [...]