The global maternity care codes might seem simple at first glance. It sounds convenient to use a single code to cover all prenatal, delivery, and postpartum services. And don’t get me wrong—this is fantastic for an uncomplicated, routine pregnancy. But what happens when things get more tricky? For instance, what if there’s a prenatal complication or the delivery takes place at a different hospital? All of a sudden, figuring out which codes to use becomes more challenging. Take this scenario: a patient sees her OB for three prenatal visits, but then has to move because her partner landed a new job in another state. In this case, her OB won’t be able to provide all the services covered by the global delivery code. The global maternity care package includes 13 prenatal visits, delivery, and postpartum care. While there are antepartum care-only codes, these only apply when four or more visits have occurred. In this situation, each visit should be billed using the appropriate evaluation and management code, 99202-99215.
Looking for additional information on this topic? Check out Part of the package? Reporting E/M During the Global Maternity Package!
Emily Lomaquahu, CPC, CPMA, CEDC
Senior Coding Quality Auditor & Educator
Emily is a Senior Coding Quality Auditor for Haugen Consulting Group and brings over a decade of experience to the profee team! She began her career as an auditor and with her keen eye for detail, she quickly found it was a perfect fit. Emily thrives in a collaborative environment and enjoys creating high-quality trainings to help providers and coders navigate charts and improve their accuracy. She earned a bachelor’s degree from the University of Colorado, in Denver. Emily specializes in Evaluation and Management (E/M), Primary Care, Anesthesia, Emergency Department, and Neurology, though she says Anesthesia and Neurology are her favorites! She is a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and Certified Emergency Department Coder (CEDC).
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