Excluded from the Global OB Package

April 6th, 2017 - Chris Woolstenhulme, CPC, CMRS
Categories:   CPT® Coding   Obstetrics|Gynecology  

First three antepartum E&M visits
Laboratory tests
Maternal or fetal echography procedures (CPT codes 76801768027680576810768117681276813768147681576816768177682076821768257682676827 and 76828)
Amniocentesis, any method (CPT codes 59000 or 59001)
Amniofusion (CPT code 59070)
Chorionic villus sampling (CPT code 59015)
Fetal contraction stress test (CPT code 59020)
Fetal non-stress test (CPT code 59025)
External cephalic version (CPT code 59412)
Insertion of cervical dilator (CPT code 59200) more than 24 hr before delivery
E&M services which is unrelated to the pregnancy (e.g. UTI, Asthma) during antepartum or postpartum care.
Additional E/M visits for complications or high risk monitoring resulting in greater than the typical 13 antepartum visits; however, these E/M services should not be reported until after the patient delivers. Append modifier 25 to identify these visits as separately identifiable from routine antepartum visits.
Inpatient E/M services provided more than 24 hrs before delivery
Management of surgical problems arising during pregnancy (e.g. Cholecystectomy, appendicitis, ruptured uterus)

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