Wiki reciprocal billing

[cheermom68]

In an OB global situation, Dr. A and B are in the same group. Dr. A performs all antepartum care but Dr. B is on call for the delivery. Normally would bill under Dr. A for the global 59514 etc. According to reciprocal rules for Medicare ( we do have Medicare OB's) we should bill under Dr. A use Q5 modifier and put substitute physician in box 24. To me this makes it look like Dr. B performed all of the services not just the delivery. Should we break out the delivery and antepartum visits in this situation, or what is the appropriate way to bill this?

 

[rnadasi]

As far I know medicare doesnot have any guidelines relating for the pregnancy billing but in our office we billed for each ob visit & @tod we used procd 59409 regardless which doctor perform the delivery (including any subsequential visits done in the hosp). Hope this help