Re: PCP noted pregnancy but flowsheet not started until after the P...

This is confirmation by an official source (assuming the PCP ran a
pregnancy test in the office and not a self claimed home pregnancy test). The
patient would therefore be seeing the ob/gyn now because she IS pregnant, not
for a second confirmation. The global has started at that visit and they
should not be billing out another pregnancy test.

Melanie Witt and I both have the same take on this.

In a message dated 11/29/2016 9:30:39 A.M. Central Standard Time, writes:

My office has PCP's and OB/GYN doctors. We have a patient that saw her PCP
on 11/2/16 and PCP noted normal pregnancy except for HTN and then she also
discusses calf pain.
However the patient doesn't see the OB/GYN doctor in our group until
11/16/16 to confirm her pregnancy and then the first OB visit/start of prental
flow sheet is set for 11/28/16.
Can we use the pregnancy O codes on the PCP visit on 11/2/16 even though
we are going to bill out the confirmation code Z32.01 on 11/16/16 with the
specialist? i.e. do we bill the O code for the pre-existing HTN with
pregnancy or do we just bill out I10?

Thank you!

Cathy Satkus, CPC
Harvard Family Physicians

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