What’s Included in the Postpartum Exam
Discover the definition and components of a postpartum examination, including key assessments, recommended follow-up visits, and billing guidelines for global obstetric care.
OB/GYN Medical Billing & Coding Alert
Question: When we report global obstetric care, which includes this component, what is the definition of a postpartum examination?
Answer: The postpartum examination refers to the routine care typically provided by the obstetrician-gynecologist following the birth of a baby. This exam is generally scheduled within seven and eighty-four days of vaginal delivery or after a cesarean delivery. While complications arising during the postpartum period can be billed separately, all routine checks must be included, regardless of quantity.
According to the American College of Obstetricians and Gynecologists (ACOG) guidelines for perinatal care, it is recommended that mothers schedule a visit with their physician for a postpartum assessment about four to six weeks after delivery. ACOG also notes that this timeframe may be adjusted based on the patient’s medical, obstetric, or other complications. For those who have undergone a cesarean delivery or experienced complications during pregnancy, a follow-up visit within 7 to 14 days postpartum may be advisable.
Components of the Postpartum Visit
The postpartum visit should include the following components:
- An interval history
- A physical examination to evaluate the patient’s current status
- An assessment of her adaptation to the newborn
- Specific inquiries regarding breastfeeding
- Evaluation of weight, blood pressure, breasts, abdomen, and a pelvic examination
- An assessment of episiotomy repair and uterine involution
- A Pap test, if indicated
- Review or initiation of birth control
- Counselling for preconception if the patient plans to have future pregnancies
The ACOG procedure manual indicates that the global service encompasses uncomplicated outpatient visits up to six weeks postpartum. While some payers adhere to the six-week standard, others may have different timeframes for coverage.
BillingFreedom Your Best Medical Billing Partner For OBGYN Medical Billing Services for Postpartum Exams
At BillingFreedom, we specialize in OBGYN medical billing services, ensuring that your postpartum services are accurately billed and reimbursed. Our expertise encompasses everything included in the postpartum exam, such as interval history assessments, physical evaluations, breastfeeding inquiries, and pelvic examinations. We prioritize your practice's efficiency by streamlining the billing process, allowing you to focus on providing excellent patient care.
With our in-depth knowledge of ACOG guidelines and the specifics of postpartum care, we ensure that all services—from routine checks to necessary Pap tests and birth control discussions—are accounted for in your claims.
Trust BillingFreedom to be your partner in navigating the complexities of ob/gyn billing and coding services, helping you achieve optimal financial outcomes.
For more details about our exceptional medical billing services, please don't hesitate to email us at info@billingfreedom.com or call us at +1 (855) 415-3472.
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