Certain MFM providers may only bill fee for service in the management of a pregnant patient but do not do the actual delivery. Typically, all delivery codes include global services upon delivery (Admission, delivery management, postpartum care, and discharge). When this occurs, unbundling then... Continue Reading
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Journalists working on stories related to high-risk pregnancies or the Society for Maternal-Fetal Medicine can contact Greg Phillips, Director of Communications, at press@smfm.org for referrals to MFM experts and to request additional information. The press office is open Monday through Friday from 9:00 AM to 5:00 PM ET.
For correct code assignment, it is important to determine whether the hypertension is a pre-existing or a gestational condition. Pre-existing hypertension is classified to category O10, Pre-existing hypertension complicating pregnancy, childbirth and the puerperium, as... Continue Reading
A uterine artery ligation with a B-Lynch suture is not typically a billable service during C-section because hemostasis is part of any surgical procedure. If the work associated with securing hemostasis was very complicated and substantially greater than typically required, some payers may accept... Continue Reading
In ICD-9, the episode of care (antepartum, delivered, postpartum) is identified using a 5th digit of 0-4. In ICD-10, however, the trimester must be specified. For services provided in an outpatient setting, the ICD-10 trimester character is assigned based on the gestational age at the time of the... Continue Reading