Ob-Gyn Coding Alert

Question: My ob-gyn delivered the placenta, and I coded 59414. Then we received a denial that says "included in the flat fee for major service/procedure." We did not bill a global code. The delivery report states she delivered in the ER entrance prior to admission. Should I resubmit with a global code appended with modifier 52? Ohio Subscriber Answer: Yes, you should submit a claim with the global code (such as 59400, Routine obstetric care including antepartum care, vaginal delivery [with or without episiotomy, and/or forceps] and postpartum care) with modifier 52 (Reduced services), provided your practice is the only one to: • provide this patient with all her prenatal care, and • see her for postpartum care. Tip: Any time you decide on split billing for obstetric care, you must bill for all services on the same claim. That way, the payer will understand you are no longer billing [...]