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Re: OB: Coding From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Oct 27 17:40:15 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: OB: Coding" Previous message: Charlie Chambers: "Re: OB: Coding" In reply to: Betsy Hyde: "Re: OB: Coding" Next in thread: Cheri Van Hoover: "Re: OB: Coding" Reply: Cheri Van Hoover: "Re: OB: Coding" Betsy: Without trying to be stupid, I can't see calling our malpractice carrier and generating an incident report (that's the process). The hospital staff (separate from me) may do that which they choose, and I'll discuss with the head of Women's Health. Coding: 99223--Initial H and P, extensive 99233--subsequent Those are the highest levels for established patients. However, there are two codes that likely apply 99358--Prlonged E/M service before and/or after direct patient care; this is the first hour 99359--each additional 30 minutes I'm likely going to tally up the time on each visit by the CNM and use these unless someone has a better idea. I bet that they'll be rejected, and I'll certainly appeal them. Global--doesn't apply here, as delivery wasn't done. The lump of prenatal visits are covered by 59425, 4 to 6 visits, or 59426, 7 or more. Garry :) Garry At Wed, 27 Oct 2004, Betsy Hyde wrote: > >On Wednesday, October 27, 2004, at 01:22 PM, Garry E. Siegel, M.D. >wrote: >> >> How in the heck do I code this one? >> >> I'm looking, but anyone with advise is welcome--on list or privately. > >If you bill a global, I don't think you can do anything other than code >this as a problem-related E&M, and how you code it depends on the >documentation. And if she never comes back to you, then you just have >to bill out prenatal care. > >I'd be more worried re getting in touch w/ your risk management >department, though. Have you heard from her since? Hopefully the >documentation was quite clear as to the midwives' recommendations. > >-- >Betsy Hyde CNM >Branford, CT > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Betsy Hyde: "Re: OB: Coding" Previous message: Charlie Chambers: "Re: OB: Coding" In reply to: Betsy Hyde: "Re: OB: Coding" Next in thread: Cheri Van Hoover: "Re: OB: Coding" Reply: Cheri Van Hoover: "Re: OB: Coding"

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