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Ob-Gyn Coding Alert

READER QUESTIONS:

Decide Whether to Code Global

Published on Mon Apr 10, 2006

Question: Can we bill 59425 and 59426 even though we are planning on delivering the baby (if we do this, we would bill 59410 for the delivery code), or should we use these codes only if we don't bill globally?


South Carolina Subscriber
Answer: The purpose of 59425 (Antepartum care only; 4-6 visits) and 59426  (... 7 or more visits) is to bill for antepartum services when your ob-gyn does not perform global care.
 
Some payers require you to use them because they want to see the services itemized. Others may require them if the patient has transferred into your practice from elsewhere because another ob-gyn will bill for part of the care. If you are providing global care, you should bill for global care. The answers for Reader Questions and You Be the Coder were provided by Melanie Witt, RN, CPC-OGS, MA, an ob-gyn coding expert based in Guadalupita, N.M.
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