Ob-Gyn Coding Alert

Scan your physician's note for these clues when reporting 76811, 76812Commercials may claim twins are double the fun, but you may not think so when you're trying to code different-day deliveries and ultrasounds. Follow this advice, and you'll have all the answers you need to perfect your multiple gestation claims.Issue 1: Different-Day DeliveriesOccasionally, multiple-gestation babies will be born on different days. 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 Professional Coders. For the second, you should bill the global code (59400), assuming the physician provided prenatal care, on [...]