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Ob-Gyn Coding Alert

READER QUESTIONS :

Tackle This Split Postpartum Care Scenario

Published on Wed Sep 16, 2009

Question: If an ob-gyn (who is not part of our practice) bills 59515 and does postpartum care in the hospital and two-week incision check, can one of our obgyns (who is part of our practice) bill 59430 for the six week postpartum check? Or should we report an E/M service with diagnosis V24.2? Kentucky Subscriber Answer: Why did the patient present to the other obgyn for the final visit? Code 59515 (Cesarean delivery only; including postpartum care) includes all postpartum care. If your ob-gyn is the one billing only for the six-week visit, you will have to report a problem E/M visit (99201-99215, Office or other outpatient visit ...) with a diagnosis of V24.2 (Routine postpartum follow-up). Be forewarned: The patient's payer may not reimburse you for this because they have already paid the previous ob-gyn for all the care. Or, the payer may ask the other ob-gyn for some [...]
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