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Pregnancy Global Coding Guide: 59400, 59510, 59610 & 59618 Tips

Posted on 29. Jul, 2009 by in Hot Coding Topics

Good news: You can report a higher-level (and higher-paying) E/M in this annual-visit situation.

Annual visits often lead to confusion when it comes to establishing a patient’s pregnancy. Take this 3-part challenge by deciding if the ob-gyn package begins based on these scenarios:

• a patient’s annual visit leads to a diagnosis of her pregnancy,

• she arrives knowing that she is pregnant, or

• the ob-gyn eliminates other possible diagnoses.

Hint: In the majority of circumstances, you should not begin counting antepartum visits for the global maternity codes (59400, 59510, 59610, 59618) until the next full visit, coding experts say.

AUDIO: The #1 mistake providers make when choosing the level of antepartum service. Melanie Witt shows you how to fix it for good.

Still Report Annual When Visit Leads to Pregnancy Dx

Scenario 1: If the ob-gyn diagnoses pregnancy (V72.42, Pregnancy examination or test, positive result) during a patient’s annual exam (99384-99386 for new patients, or 99394-99396 for established patients), you...

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