Global maternity care reporting services include pregnancy codes related to antepartum care, admission to the hospital for labor and delivery, management of labor (including fetal monitoring), delivery and postpartum (uncomplicated) care until six weeks postpartum. What is "global billing"? Visits for complications may be billed outside the global. Answer: It depends. Global Pregnancy Billing. Coding for Complications or Adverse Pregnancy Outcomes during the Postpartum Period. Pregnancy care can qualify for billing as a global service. Global Billing for Pregnancy Refer to the Pregnancy: Global Billing (preg glo) section in the appropriate Part 2 provider manual regarding this topic. June 25, 2020. Thank you to the 63 generous coders and billers who answered my questions about billing extra OB visits during the maternity period. June 23, 2020 | By Grant Huang, CPC, CPMA. If so, the billing cannot take place until after the child is born and must include all charges for routine care before and after the birth, lab work and any office visits during the pregnancy term and the delivery itself. Global billing also includes the Billing E/M Visits During the Global Period. The first postpartum visit (99214, a 25-minute visit), is valued into the global. B. I am shocked by the numbers some of you are paying. If we and our payers are following CPT ® rules, these extra visits caring for a pregnant patient are separately billable.. Messages 9 Best answers 0. In such a case, proper billing will depend on the payer. There’s a common maternity care coding and billing scenario that CPT® guidelines do not address: The patient switches insurance during the pregnancy, but keeps the same physician. My OB does global billing also. Jul 29, 2013 #1 I work in an FQHC and we are now getting denials from insurance companies who want us to submit one bill for the entire pregnancy. She said it's just one lump-sum bill submitted at the end of the pregnancy. Question: Can I bill for different diagnosis codes for conditions/problems when seeing a patient in the hospital after surgery, but during the stay of a major surgery? Global Maternity & Multiple Births Billing Guidelines Quick Reference Guide Global Maternity Global maternity care includes pregnancy-related antepartum care, admission to labor and delivery, management of labor including fetal monitoring, delivery, and uncomplicated postpartum care until six weeks postpartum. As a general rule, each insurer will pay only for that exact portion of care for which it is responsible. I have an HMO and with my last pregnancy I paid a $10 co-pay for the entire pregnancy and … Thread starter bonncruise; Start date Jul 29, 2013; B. bonncruise Guest. The editorial comments at the start of the Maternity Care and Delivery section tells us what is included in the global payment. Hypertension, gestational diabetes, or other pregnancy complications are risk factors for future chronic disease. Policy The intent of global billing is to offer a convenient means of billing for providers. Services Excluded from the Global Obstetrical Package Per CPT guidelines and ACOG, the following services are excluded from the global OB package (CPT codes 59400, 59510, 59610, 59618) and may be reported separately if warranted: • Initial E/M to diagnose pregnancy if antepartum record is not initiated at this confirmatory visit. I didn't know this last month, because technically it was a gyn appt, and I paid my co-pay. Global billing consists of antepartum, delivery and post-partum care. A global charge should be … Global Period Doesn’t Cover Everything For billing purposes, the obstetric (OB) period begins on the date of the initial visit in which pregnancy was confirmed and extends through the end of the postpartum period (56 days after vaginal delivery and 90 days after C-section). We have two providers one is a Doctor and the other is a nurse midwife. One of the more challenging aspects of coding and auditing for OB/GYN providers revolves around the global obstetrical package, which bundles all services relating to pregnancy and delivery into a single global code, …