OB/GYN Billing Services
RevClinic360 offers specialized OB/GYN billing services that address the unique complexities of obstetric and gynecological practices. Our certified coders manage obstetric global packages, high-risk pregnancy coding, gynecological surgical procedures, well-woman preventive exams, contraceptive management, and fertility-related services. We understand antepartum, delivery, and postpartum billing rules that maximize your reimbursement while ensuring compliance.
OB/GYN billing is uniquely complex due to the obstetric global package structure, which bundles antepartum care, delivery, and postpartum care into a single payment. Our team expertly manages the nuances of global vs. non-global billing, properly coding for complications that fall outside the global package, high-risk antepartum management with separate E/M visits, multiple gestation coding, and the different delivery method codes (vaginal, cesarean, VBAC). On the gynecology side, we handle hysterectomy coding, laparoscopic procedure billing, colposcopy, LEEP procedures, and in-office procedure coding.
- Obstetric global package management including proper antepartum visit tracking and complication coding outside the global period.
- Gynecological surgical coding for hysterectomy, laparoscopy, colposcopy, LEEP, and in-office procedures.
- High-risk pregnancy billing with separate E/M coding (modifier -25) for conditions beyond routine prenatal care.
Our OB/GYN billing team prevents common revenue leaks such as failing to bill separately for complications of pregnancy, missing charges for non-routine ultrasounds, and undercoding surgical complexity. We also manage the transition of care when patients switch providers mid-pregnancy, ensuring proper proration of the global package. For gynecology, we optimize billing for in-office procedures like endometrial biopsies, IUD insertions, and urodynamic testing.
Frequently Asked Questions
We track each patient through the antepartum, delivery, and postpartum periods. Routine antepartum visits are included in the global code, but we separately bill for complications, high-risk management, non-routine ultrasounds, and hospital visits for conditions outside normal pregnancy care.
Yes. When antepartum visits involve management of high-risk conditions (gestational diabetes, preeclampsia, placenta previa), we bill the appropriate E/M code with modifier -25 in addition to the routine prenatal visit, properly documenting the separate condition management.
We select the correct global or delivery-only codes based on the delivery method — vaginal (59400/59410), cesarean (59510/59515), or VBAC (59610/59614) — and ensure proper coding for any additional procedures performed during delivery.
Absolutely. We code all gynecological surgeries including total and subtotal hysterectomies (open, laparoscopic, vaginal, robotic-assisted), oophorectomies, myomectomies, and pelvic floor repair procedures with proper modifier and co-surgery billing when applicable.
We properly bill annual well-woman exams including pelvic exams, breast exams, Pap smears, and preventive counseling. We ensure proper code selection based on patient age and insurance type, and split billing when problem-oriented services are also provided during the visit.