Part B Coding Coach: OB-GYN: Pocket This Primer on Preventive Services

Why This Topic Matters

Preventive ob-gyn billing can be difficult to separate from other evaluation and management activity, and Medicare rules affect how claims and patient charges are handled. Understanding the article’s scope helps practices avoid incomplete reporting and better anticipate how preventive and covered components may be billed.

Article Sections

1. Find out how to use Medicare’s ‘carve out’ rule

   Introduces the Medicare carve-out concept in the context of preventive ob-gyn services and same-day evaluation and management work.

2. Adhere to This Advice for Medicare Carriers

   Reviews a worked example involving preventive exam reporting, related modifiers, and diagnosis pairings discussed in the article.

3. Here’s How to Calculate Your Fee

   Explains the article’s fee-calculation scenario for separating covered and noncovered portions of a visit under Medicare billing rules.

4. Take Covered Annual Exam Into Account

   Covers a second example where a Medicare-covered screening component is included in the annual exam and the billing discussion expands to additional reporting considerations.