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OB Documentation and Coding
Brian Elkins, M.D.Modified by Brittany Wyger, M.D. (PGY-III)
Change to OB navigator - this is under “helper navigators” drop down
Create a Pregnancy Episode at 1st visit and link episodes at every subsequent visit
Link each visit to the episode
Initial charting
Initial Charting
Initial visit charting
Order prenatal labs
Charting in subsequent visitsUse OB templates for notes
Running an episode report
Running an episode report
Billing correctly
Pregnancy Diagnosis Codes:V22.0 Supervision of normal first pregancyV22.1 Supervision of other normal pregnancy654.20 Previous C-Section643.00 Mild hyperemesis gravidarum
Medicaid Billing:Bill each antepartum visit with LOS and “TH” modifier (99213 + TH)The initial prenatal visit is coded as a new patient, even if not new to our clinic (99203)
Private Insurance Billing:The first 3 visits billed with LOS (no TH modifier)Subsequent prenatal visits go under a global fee, use LOS with “NC” modifier, the global fee will be billed after delivery (faculty does this)