For birth at 25 weeks, consider modifier -52 on global code

Article Overview

This article addresses obstetric billing questions for a very premature delivery and explains how payer policies can affect reporting of maternity care. It is aimed at obstetric, gynecology, and professional coding staff who need to understand when a reduced-service modifier or an alternate reporting approach may be considered under payer-specific rules. The discussion focuses on general maternity package concepts, antepartum visit expectations, and how different payers may handle incomplete global obstetric care.