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Posted By Lillian on 10-18-2018, 10:06:22 in Ob-Gyn
When documenting for a problem ob visit should it be documented in the antepartum tool as incidental to pregnancy or should it be a separate entry outside of the antepartum tool? Also can anyone clarify if V22.1 is posted for charting purposed rather than billing purposes? Ive always billed the problem dx with gestational weeks only.
Comments (4)
Posted By Melanie Witt on 10-22-2018, 16:51:22
They published this information years ago. You can now ask them coding questions directly. Go to: https://www.acog.org/About-ACOG/ACOG-Departments/Coding/Coding-Question-of-the-Month on in the right hand column at the top you will see a link to signing up to ask them questions.
Posted By Holly DeAbreu on 10-22-2018, 13:03:03
@ Melanie Witt
Do you have a link or site for the ACOG source?
Posted By Lillian on 10-18-2018, 15:23:25
I meant to post Z33.1 for incidental in case is a billable problem ob visit. Sorry for the confusion.
I did receive your message earlier. Thank you for your prompt response.
Posted By Melanie Witt on 10-18-2018, 15:18:48
Lillian, I addressed the first part of your question in a private email as you forwarded your question directly to me. As for V22.1, it is an ICD9 code for the supervision of a normal pregnancy so would not be reported at all. If your question is whether you should report the current code for supervision of a normal pregnancy (a Z34.- code), it should be posted for the visit at which the patient is being seen for her routine visit at the time of this visit (and not for any problem). You would only bill this code if you are allowed to bill the individual visit.

For those who might also be following this question, my answer to the first part of the question is as follows: A problem OB visit should always be documented separately per ACOG so that there is no doubt about the level of service should you be able to bill that visit separately either at the time of service or after delivery if the patient had more than 13 antepartum visits. Documenting in both places is just more unnecessary work.
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