MultiSpecialty RoundUp: ObGyn

Why This Topic Matters

The article highlights a payer-sensitive area of ObGyn documentation and claim submission and explains why some services in high-risk pregnancy management may require separate attention for coding and medical necessity support.

Article Sections

1. ACOG says use modifier 25 on E/M done with diagnostic test

   This section summarizes guidance from ACOG and references CPT commentary regarding same-day diagnostic testing and evaluation and management services. It also notes payer-denial concerns and cautions about when separate reporting may not be appropriate.

2. Additional ObGyn coding advice

   This section discusses broad coding considerations for services associated with high-risk pregnancy care. It focuses on categories of care that may fall outside routine obstetrical services and on the need for supporting diagnosis coding.