hthompson
Guru
I need to find out when it would be appropriate to allow my OB inpatient providers to bill for the Initial or Subsequent Hospital Care for a patient who has delivered. I've made an OB superbill and it has charges for delivery, inital/subsequent hospital care, d/c, observation with d/c same day and newborn care. I'm trying to accurately explain when the hospital inpatient codes are appropriate and I'm not sure of the answer.
I've been allowing their use when pt comes in for a complication of pregnancy and doesn't deliver, but what if they came in for oligohydramnios and were induced? Does that allow for a 99221-99223 for the date of admit? Is that complication serious enough for inpatient hospital codes?
What if a patient is admitted for labor/delivery and we charge 59409 and the dr wants to bill a 99232 or 99233 for any subsequent visits? What kind of complications are serious enough to allow this?
A 2nd, 3rd or 4th degree perineal laceration? Anemia? Pitocin induction for post dates?
Can you list some specific examples that would be appropriate? For most patients, I realize that it's only appropriate to bill for the delivery and no previous or subsequent hospital visits; however, I also realize that some patients will not fall into this "norm" and I really want to understand which patients they are.
Thanks in advance!!
I've been allowing their use when pt comes in for a complication of pregnancy and doesn't deliver, but what if they came in for oligohydramnios and were induced? Does that allow for a 99221-99223 for the date of admit? Is that complication serious enough for inpatient hospital codes?
What if a patient is admitted for labor/delivery and we charge 59409 and the dr wants to bill a 99232 or 99233 for any subsequent visits? What kind of complications are serious enough to allow this?
A 2nd, 3rd or 4th degree perineal laceration? Anemia? Pitocin induction for post dates?
Can you list some specific examples that would be appropriate? For most patients, I realize that it's only appropriate to bill for the delivery and no previous or subsequent hospital visits; however, I also realize that some patients will not fall into this "norm" and I really want to understand which patients they are.
Thanks in advance!!