U/S, visits, admits may be eligible for extra pay in high-risk pregnancies

Why This Topic Matters

High-risk pregnancies often involve services that may not be included in a global maternity payment, so accurate coding and documentation can affect whether additional services are payable. The article helps readers identify the main categories of care and diagnosis coding concepts involved without substituting for the premium guidance.

Article Sections

1. Routine obstetrical care and services outside the global package

   Introduces the distinction between routine maternity care and additional services that may be separately payable in higher-risk situations. Summarizes the general types of care commonly discussed in relation to global obstetrical billing.

2. Ultrasound services

   Covers the broad categories of obstetric ultrasound services discussed in the article and the documentation themes associated with them. Also notes that payer policies may vary.

3. Concurrent care

   Discusses care shared among different clinicians during a high-risk pregnancy and the role of specialist involvement. Emphasizes the payer and contracting considerations raised in the article.

4. Dx key to payment, especially in high-risk pregnancy

   Focuses on the relationship between diagnosis coding and additional services in high-risk pregnancy care. References the general ICD-9-CM complication categories described in the article.

5. What is a high-risk pregnancy?

   Provides the article’s general characterization of high-risk pregnancy and the broader clinical circumstances that may increase care needs. Describes the types of monitoring and additional management often associated with these cases.