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at routine post partum visit provider extensively counseled patient on genetic testing due to first degree relative with breast cancer. is it correct to bill 99213-24 or is this considered part of OB global package?
Counseling on genetic testing for breast cancer is not part of a postpartum package. The problem is unrelated to pregnancy. Just make sure when leveling the visit, you are not including time/work spent on postpartum care, and link the appropriate diagnosis.
From ACOG (full document here):
Services That Are Separately Reportable during the Postpartum Period
Treatment and management of complications requiring other services or visits during the postpartum period (eg, GDM, hypertension in pregnancy, preterm birth). As an example, ordering the two-hour OGTT for a woman with GDM would be included as part of postpartum care. However, evaluating the patient and initiating treatment of newly-diagnosed Type 2 diabetes with metformin would be a separately reportable service.
Management of problems unrelated to the pregnancy (eg, hypertension, glucose intolerance, obesity)