Wiki OB High Blood Pressure

[obgyncoder]

Need clarification.....Can you charge an office visit w/mod 25 on OB patients that come in for High Blood Pressure and their routine OB visits at the same time?

 

[hmagao]

you do not need the modifier 25. Just bill it out with the office visit and proper dx code separate from the global package

 

[Thouvenel]

Complications are part of the OB package. Only if additional work is done due to the complication can you bill an E/M service. If the patient comes in for a regular OB appt, you note the change in blood pressure accordingly, but it is part of the package. If the patient comes in 4 days later for high blood pressure you can charge the E/M. That's my understanding. Documentation will tell you the difference of additional work or global appt.