Wiki Coding new ob sono

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Rbroderick

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My doctors alway bill a 99213 with a 76830 for establishing an OB patient, with a dx 626.0.
Wouldn't you think it should be a 76817 with V72.42? Any thoughts?
 
If the pt ois known pregnant prior to the encounter it is a V22.x code if the visit is to confirm wheter she is pregnant or not it is V72.4x.
You cannot use 626.0 for this encounter. The diagnosis code you select is an extension of the catergory it is in and the chapter.
626 is the category for disorders of menstruation and other abnormal bleeding from female genital tract which is not why this patient is being seen, therefore no 626 code can be correct. Also this chapter for diseases of the genitourinary system, which is also not true for this patient.
Therefore the only dx code that is correct is a V code and which one is dependent on the documentation.
 
Coding new ob

The patient is coming in suspecting pregnancy. The doctor does a limited visit and a sono. Would the correct sono code be a transvaginal non-ob 76830 or transvaginal OB 76817. We are establishing the pregnancy.
 
if the pregnancy has been confirmed by a pregnancy test then it is an OB sono SO either the patient performed the test at home and it was positive or you did one in the office.
 
This may be considered part of the OB global if you bill OB codes. You may bill using the V72.42 and 76830 and it is payable by insurance.
 
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