Wiki Triage-OB (Family Practice)

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TCarrasco

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Hello,

I work for a Family Practice clinic that also does OB services...
I am having a little trouble figuring out how to code and bill for OB triage services that are povided at our local hospital. Our situation is that many times our OB patiens go the the ER/hospital becasue they are having some kind of complication. Our ER does not see them, but instead sends them to the Labor and Delivery Department. This elimiates us from billing as an ER visit, right? However once in labor and delivery the patient is triaged and usually seen by one of our OB providers from the clinic and sent home, neither being admitted to the floor or into observation status. What does this leave us with? I am thining an outpatient e/m with the pos as the hospital, but I may be way off and just not sure....Please someone help!!!! :confused:

Thank you in advance!
 
Depends where you doc sees them. If they do see them in ER, then you can bill an ER visit. Otherwise, I would go with the outpt. hosp. code with POS of 22.
 
Thank you so much for your help!;)


I think the er visit is out in our situation, however when you say outpatient hospital code are you meaning an e/m code (99212-99215)?? with the pos of 22 for hospital, as Evaluation and Management is defined as office or other Outpatient Services and the guideline states that a patient is considered an outpatient until inpatient admission to a healthcare facility occurs. I just want to make sure before I give feedback to my providers!

Thank you again for your help!
 
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