Wiki when to use supervision codes

[russoatteberry2005]

I work @ a MFM office and am confused as to when to use supervision codes - the guidelines state to use on high risk prenatal outpt visits - for routine outpatient visit for high risk patients-
Nothing about seeing an MFM is routine- so I do not feel it is correct to use these.


Am I reading to much into this and should I be using a supervision code on all patients (they are all high risk) first?

 

[MFMcoder]

With ICD-9 I had a payer insist that our MFM office use a supervision of high risk pregnancy as the first listed dx on each claim. They explained they wanted it that way so they could differintiate our non-global claims from the global claims of the delivering provider. I haven't for the ICD-10 claims as of yet. Waiting to see what happens. The dx codes should be telling the payer what is going on, especially with the specificity.