How do you handle billing when a patient starts prenatal care with your practice but delivers elsewhere?

When a patient transfers before delivery, we bill the antepartum care only codes (59425–59426) for the visits provided by your practice — correctly unbundling the global package and billing only for services actually rendered.

Do you handle high-risk obstetric billing separately from the global package?

Yes. Additional monitoring, NSTs, and specialist services outside the standard antepartum visit count are separately billable. We identify and capture these services so they're not absorbed into the global package incorrectly.

How do you bill for Pap smears and preventive screenings?

We bill the appropriate preventive care code or the specific screening code depending on the payer. For patients with symptoms or risk factors, we bill the diagnostic code and apply appropriate modifiers.

Can you handle billing for robotic or laparoscopic gynecological surgery?

Yes. We code minimally invasive gynecological surgeries — including robotic hysterectomy, laparoscopic procedures, and complex pelvic reconstructive surgeries — with the appropriate technique-specific CPT codes.

Do you have experience with Medicaid maternity billing requirements?

Yes. Medicaid maternity billing has state-specific rules around global package eligibility, prenatal visit requirements, and coverage periods. We understand these requirements and apply them correctly for Medicaid patients.

Specialty Billing

OB/GYN Billing Services

Specialized billing for obstetric care, gynecological surgery, preventive services, and the complex revenue cycle of a combined OB/GYN practice.

Schedule Free Consultation Request Free Evaluation

OB/GYN Billing Overview

OB/GYN billing involves two distinct service categories — obstetric care with its global package billing model and gynecological services with surgical coding, preventive screenings, and in-office procedures. Each category has its own coding requirements, documentation standards, and payer rules. Obstetric global packages require careful management of antepartum, delivery, and postpartum services — including tracking which components have already been billed when patients transfer care. At 2 Lee's Billing, our team handles the full OB/GYN billing spectrum: global obstetric packages, routine and complicated deliveries, gynecological surgery coding, preventive care services, and in-office procedures — ensuring complete capture and accurate billing for every service.

Coding Highlights

✓Obstetric global package codes: 59400, 59510, 59610, 59618
✓Antepartum care only and delivery only codes
✓Cesarean delivery — 59510, 59514, 59515
✓Postpartum care coding and standalone visits
✓Gynecological surgery: hysterectomy, laparoscopy, LEEP
✓Well-woman exam: 99381–99387 / 99391–99397
✓In-office procedures: IUD insertion, colposcopy, biopsies

Common OB/GYN Billing Challenges

Global Package Management

Obstetric global packages bundle antepartum visits, delivery, and postpartum care into a single reimbursement. Tracking shared care, split billing, and individual component billing when patients transfer requires careful coordination.

High-Risk Pregnancy Billing

High-risk obstetric care involves additional services — additional antepartum visits, non-stress tests, and hospital admissions — that must be billed separately from the standard global package.

Split/Shared Care

When a patient is co-managed by multiple providers or delivers with a covering physician, billing the global package vs. individual components requires careful documentation and provider assignment tracking.

Preventive vs. Problem Visit Billing

Well-woman exams that include problem-focused services require correct dual billing with modifier 25 — a common source of patient balance disputes and claim denials.

Surgical Coding Complexity

Gynecological surgeries range from minor in-office procedures to complex laparoscopic and robotic cases. Each requires specific CPT code selection and modifier use based on approach and findings.

Medicaid Maternity Billing

Medicaid programs have specific requirements for obstetric billing — including global package eligibility, non-stress test billing rules, and prior authorization for high-risk services.

How 2 Lee's Billing Supports OB/GYN Practices

✓

Obstetric Global Package Billing

We manage obstetric global packages from initial prenatal visit through postpartum care — including tracking antepartum count, delivery coding, and postpartum visit reporting.

✓

High-Risk Pregnancy Code Capture

Additional antepartum services, non-stress tests, and specialist co-management are separately coded and billed — capturing the full value of high-risk obstetric care.

✓

Split Care Coordination

When care is split between providers or patients transfer mid-pregnancy, we correctly bill the appropriate antepartum or delivery only codes with proper documentation.

✓

Gynecological Surgery Coding

We review operative notes and apply the correct CPT codes for gynecological surgery — including laparoscopic vs. open approach distinctions and add-on procedure codes.

✓

Preventive & In-Office Service Billing

Well-woman exams, Pap smears, colposcopies, biopsies, and IUD insertions are each correctly coded and billed — including modifier use when combined with problem-focused services.

✓

Insurance Verification & Authorization

We verify obstetric benefits at the start of prenatal care and identify authorization requirements for high-risk services and surgical procedures.

OB/GYN Billing FAQs

Related Services

Medical Billing & Coding Verification of Benefits Denial Management Revenue Cycle Management

Other Specialties

Primary Care Pediatrics General Surgery Gastroenterology

OB/GYN Billing Done Right, From First Prenatal to Postpartum

Our specialists understand obstetric global packages and gynecological coding. Schedule a free consultation today.

Request Free Evaluation Schedule Free Consultation

Or call us: (702) 478-8115 · Toll Free: (800) 364-1801