When your ob-gyn sees a patient for a nonannual examination visit and the reports says that she is pregnant, what code should you report? This is the time when you need to adhere to the golden rule: code what you know at the end of the visit.
When Nonscheduled Visit Determines Pregnancy
Follow these three scenarios, and you’ll know when to start the global ob record.
Scenario 1: The patient sees her ob-gyn for abdominal cramping, sweating, having missed a period, or other possible symptoms. These complaints prompt the ob-gyn to order a pregnancy test (like 81025, Urine pregnancy test, by visual color comparison methods). He learns from the results that she is pregnant.
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