Specialty billing
OB-GYN billing
We code OB-GYN to your payer rules, not a generic template, handling global obstetric packages, delivery and antepartum splits, and gynecologic procedures the way each plan expects.
Where claims slip
Billing considerations for OB-GYN
Common places OB-GYN revenue leaks. We code each of these to your payer rules, not a one-size-fits-all template.
Global obstetric packages bundle prenatal, delivery, and postpartum care, so knowing when to bill global versus split is essential.
Delivery-only billing applies when your provider did not render the full course of prenatal care.
Antepartum visits beyond the global count, and high-risk care, may be separately billable.
Postpartum services outside the global period (such as depression screening or contraceptive counseling) can be billed separately.
Fetal testing and reduced-service deliveries need the correct codes and modifiers.
Representative codes
Codes we see in OB-GYN
A few illustrative CPT and HCPCS examples, not an exhaustive or guaranteed list. We code from your documentation and each payer's current rules.
- 59400
- Global OB package, vaginal delivery (prenatal, delivery, postpartum)
- 59510
- Global OB package, cesarean delivery
- 59025
- Fetal non-stress test
- 59409
- Vaginal delivery only (without global package)
- 58120
- Dilation and curettage, non-obstetric
Illustrative examples for context only. Actual codes depend on documentation, setting, and payer rules, and code sets change over time.
How we help
How our services apply to OB-GYN
The same accountable team handles the work behind your OB-GYN claims. Here is where each service fits.
Common questions
OB-GYN billing, answered.
Do you handle global OB packages and splits?
Yes. We bill the global obstetric package when one practice provides the full course of care, and we split antepartum, delivery, and postpartum components when it does not.
Can you bill delivery-only when we did not do the prenatal care?
We use delivery-only coding when your provider did not render the full prenatal course, so the claim reflects the care actually delivered.
Are postpartum services billable outside the global package?
Some are. Services such as postpartum depression screening or contraceptive counseling can be billed separately where documentation and payer rules support it.
Ready to bill OB-GYN the right way?
732-209-1487 · info@vertexmedicalbilling.com