OB-GYN Coding

Ob-Gyn medical practices are a diverse, yet centralized, specialty that encompasses both medical and surgical elements of women’s health care during the life process. Directed care includes the pre-pubertal stage, and the reproductive and post-menopausal phases. Practitioners provide care to women in many different settings which include the hospital setting for labor and delivery and surgical procedures, medical office visits that include general care and routine office procedures and exams, and ambulatory surgical settings.

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The American Medical Association further defines obstetric and gynecological specialties to include Gynecologic Oncologists, Female Pelvic Medicine and Reconstructive Surgeons, Reproductive Endocrinologists, and Maternal-Fetal Medicine specialists.

Changes related to the ICD-10CM that will affect Obstetrics and gynecological practices include definition changes with regard to what constitutes the first, second, and third trimester, Early or late vomiting during pregnancy, elective termination of pregnancy definitions Increased specificity demanded by the ICD-10 involves documenting the “intent of encounter” for office visits and expanded notations for surgical processes and complications of pregnancy.

Finding medical coders with expertise in Ob-Gyn coding is no easy task. A competent medical coder should be able to properly read and correctly conceptualize physician documentation in order to succinctly apply the proper codes, sub-codes, and modifiers within the patient claim. Proficient medical coders must also be able to evaluate notes for completeness and sufficiency in order to minimize claim denials and prevent costly delays, know and follow Medicare rules and regulations, and be comfortable with coding for specialized procedures such as biopsies, hysterectomy, deliveries and postpartum care, antepartum care, and colpopexy surgical procedures, etc.

PDN provides the Ob-Gyn specialty resources your practice needs on a 24 hour basis. With our professional, certified coders, your Ob-Gyn practice will see a marked decrease in backlogs, a more consistent and reliable revenue stream, and expertly coded patient claims that will prevent unnecessary and costly denials. Rest assured that your practice will be in capable and responsive hands with PDN’s staff of medical coding specialists.