Obstetric Visit Types

The Obstetric (OB) visit types are very specific to the unique requirements for billing OB and prenatal visits.

Use the OB Prenatal - Initial visit type to confirm and document the beginning of a pregnancy where the prenatal record has not been initiated. You can bill for the encounter using the standard E&M codes 99201–99215.

Use the OB Prenatal visit type for encounters where you are using the prenatal record. The application tracks each encounter during the current pregnancy with the OB Prenatal visit type on a hidden field on the Home page. You can bill prenatal visits separately if a patient obtains a new insurance plan or changes providers, and/or other complications arise. The Finalize template adds the number of prenatal encounters that have been documented for the current pregnancy and calculates the appropriate prenatal E&M code.

For the OB Prenatal and OB Postpartum visit types, you can select the Prenatal/Postpartum E&M check box on the Finalize template to override the standard E&M code calculations based on visit type with calculations based on the data entered on the templates.

You can use the OB Billing panel on the Finalize template to select the Service Item Master (SIM) codes entered in the OB Billing Service Category for prenatal and antepartum care to meet the specific payer requirements. You can enter additional OB billing codes manually in the Procedures module (Superbill), or other users can enter the codes in a practice management application.