--
Richard Chudacoff, MD
"If you think it's hard to meet new people, try picking up the wrong golf
ball." -Jack Lemmon
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Joanne
Bulley, MD
Sent: Wednesday, May 28, 2003 10:11 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: OB: coding
Garry - you outlined exactly what I was thinking. that is how I would
do it.
Joanne
At Wed, 28 May 2003, Garry E. Siegel, M.D. wrote:
>
>Bill:
>
>If I get this right, you are trying to code for the 3 or so visits that
>are not part of global Ob care, as these are transient patients, so to
>speak.
>
>If someone has a partial number of Ob visits (and I don't have a CPT
>2003 handy at home, but I do have a spreadsheet with our prices), then
>there are codes for antenatal visits, like 4 to 7, or 7+, I belive.
>
>It seems to me that you should code as follows:
>
>Nurse visit--new or established patient, brief E/M code. That is
>because that's all you can bill for a nurse visit. If blood is drawn,
>and you don't bill for the lab test, bill for the venipuncture, too. I
>would think the transients would be new, not old, and I believe that the
>lowest level E/M for a new patient is a higher level of service than the
>lowest for an old patient (because you have to establish a history). I
>bet the codes are 99202 (new) and 99212 (established).
>
>Doctor Visit--since you do a physical, and history (well, it is
>reveiwed), if it qualifies for a comprehensive examination (it should),
>use 99215, the E/M for established (they won't be new, since they've
>seen the nurse) comprehensive. If you do an ultrasound, document it and
>bill it.
>
>The diagnosis code for both should be amenorrhea.
>
>I would expect that these should be paid, just as similar services would
>be paid for another diagnosis.
>
>Have you tried this?
>
>Garry
--
Joanne Bulley, MD
Keene, NH, USA
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-George Sand
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The hottest places in hell are reserved for those who, in times of great
moral crisis, maintain their neutrality.
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