OB/GYN Billing Services Across The Whole Pregnancy.
Obstetric care is usually billed once, after delivery, for months of visits, and it unravels when a patient transfers, changes insurance or delivers elsewhere. We track every pregnancy from the first visit, bill the right package and bill gynecology and preventive care alongside it.
- Global obstetric packages
- Split care and insurance changes
- Gynecology and preventive care
Your Care TeamRecords every prenatal visitFour Packages, One Claim Each.
When one practice provides all routine care, the pregnancy is billed with a single global code after delivery. Which code depends on how the baby was delivered.
Vaginal Delivery
Routine antepartum care, vaginal delivery and postpartum care.
Cesarean Delivery
Routine antepartum care, cesarean delivery and postpartum care.
VBAC
Vaginal delivery after a previous cesarean, with routine care.
Cesarean After Trial Of Labor
Cesarean following an attempted VBAC, with routine care.
Split Care Is Billed By What You Actually Did.
If your practice does not provide the whole package, you bill only your part. The visit count and dates decide the codes.
You provide the rest of the care and the delivery. The prior practice bills its antepartum visits; you bill your portion.
Antepartum care only: 4 to 6 visits 59425, 7 or more 59426. One to three visits are billed as office visits.
Delivery-only and postpartum-only codes, such as 59430 for postpartum care alone.
Each payer is billed for the care given while it covered the patient, often splitting antepartum visits by date.
Ultrasound Codes Follow Timing And Detail.
| Exam | Code | When it applies |
|---|---|---|
| First trimester, transabdominal | 76801 | Before 14 weeks |
| Standard, after first trimester | 76805 | 14 weeks or later |
| Detailed fetal anatomy | 76811 | Specific clinical indications; documentation of the detailed survey |
| Follow-up | 76816 | Re-evaluation of a previously identified finding |
| Limited | 76815 | Focused look, such as fetal position or heartbeat |
| Transvaginal | 76817 | Transvaginal approach |
Whether your practice owns the equipment or reads images taken elsewhere decides whether you bill the full service or the professional component only.
The Rest Of Your Practice.
Well-Woman Care, By Payer
Commercial plans usually pay age-based preventive visit codes, often with no cost-sharing. Medicare pays a screening pelvic and breast exam and Pap collection on its own schedule.
Medicare screening is generally every 24 months, or every 12 months for higher-risk patients.
Procedure And Device, Separately
IUD and implant insertion or removal is billed as a procedure, and the device itself as its own line with its HCPCS code, when your practice supplies it.
- Insertion, removal and removal with reinsertion use different codes
- Device lot and type documented
- Many plans cover contraception without cost-sharing
Medical Billing Or Full RCM?
Medical Billing
Your front desk keeps registration and eligibility. We track each pregnancy, bill global or split packages after delivery, and bill gynecology and ultrasound as they happen. Coding can be added.
About Medical Billing Services →Full RCM
We also check eligibility through the pregnancy, including insurance changes and Medicaid dates, and code every visit, with credentialing included.
About Full RCM →Hospital facility charges for delivery are billed by the hospital, not as part of this service.
Questions OB/GYN Practices Ask.
Please do not send patient records through the website.
When Do You Bill The Global Package?
After delivery, once the delivery note is complete. Every antepartum visit date is tracked along the way in case the plan changes.
What If The Patient Changes Insurance Mid-Pregnancy?
We bill each payer for the care given while it covered the patient, using the visit dates your team records.
Are Ultrasounds Part Of The Global Package?
No. Ultrasounds are billed separately, by trimester and type of exam.
What If A Patient Transfers To Us At 30 Weeks?
You bill your portion of care and the delivery. The previous practice bills its own antepartum visits.
Can You Bill IUDs And Implants?
Yes, the procedure and the device as separate lines, when your practice supplies the device.
Talk Through Your OB/GYN Billing.
Tell us your obstetric and gynecology mix, where deliveries happen and your payer mix, including Medicaid. Please do not send patient records through the website.
- Global and split obstetric care
- BAA signed before any patient-data access
- Medical Billing or Full RCM