Medical Billing Forum

Coding => Coding => : Medbill12 April 04, 2019, 04:59:51 AM

: Billing Global when not enough routine visits (all or most were high risk)
: Medbill12 April 04, 2019, 04:59:51 AM

Just curious how anyone handles this. We see many patients who are high risk and/or have complications, most insurers allow to bill the high risk or complicated E/M outside of global and they are paid. The problem is that they are seen for many of these types of visits from the beginning of pregnancy and either have zero routine visits at the time of delivery or a couple since most of the office visits for high risk or complications were already paid.

Since there are usually a couple to no routine visits are you still billing global? We usually  end up splitting the global and bill out the couple routine visits and then bill out delivery/PP separate e.g 59410, 59515 etc...since most insurance carriers require you to have 10-13 routine visits to bill global.

Thanks!

: Re: Billing Global when not enough routine visits (all or most were high risk)
: Michele April 09, 2019, 10:26:04 PM

Sorry, I don't bill any OB.  But it sounds like what you have described would be the correct way to handle it.