OB-GYN billing centers on global maternity packages and knowing which services fall inside and outside them.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 59400 | Routine OB care, vaginal delivery, global | Includes prenatal visits and postpartum care |
| 59510 | Routine OB care, cesarean delivery, global | Delivery details affect payment |
| 59025 | Fetal non-stress test | Often billed with ultrasound; check edits |
| 76805 | Obstetric ultrasound, complete | Technical / professional split may apply |
| 58300 | IUD insertion | Device supply billed separately |
| 99395 | Preventive visit, established patient, age 18 to 39 | Add -25 if a problem is also treated |
| G0101 | Medicare pelvic and breast exam | Frequency limits apply |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsBiopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.