Wiki New OB Patient and Preventative vist

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obgyncoder

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I just need clarification on how to code this:
A new patient comes in for an new ob visit 99204. Dr. does the new ob visit with a pap smear 99385. How should this be billed?
Thanks!
 
When we have this situation at our office, I always code the preventive E/M as a new patient 99385. After that encounter, the patient is now established so for the OB part of the office visit I add a 99214 with a -25 modifier added to it. Hope that helps. :)
 
When a patient comes to the office for OB care and you know they are pregnant and the at the time the OB papers are started is considered global OB care. I don't think you should be charging a preventative visit as it is now part of the OB global care. Just my opinion though.
 
I agree that a new OB visit is part of the global care and shouldn't be billed separately and with a preventive exam. This is the initial OB visit.
 
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