This article is for providers who perform obstetric services for our members
When billing for obstetric evaluation and management (E/M) services, please review our existing Obstetrical and Maternity Care payment policy. E/M codes are not routinely reimbursed separately from the global obstetric service.
As a reminder, global obstetric services are reimbursed at an all-inclusive rate and include:
- Monthly visits up to 28 weeks of gestation
- Biweekly visits up to 36 weeks of gestation
- Weekly visits until delivery and up to 42 days post-delivery
Only E/M visits that are related to a current complication are reportable. Do not report visits in which the monitoring of a potential problem does not result in a complication.
Refer to our Obstetrical and Maternity Care payment policy for additional billing guidelines. To download this policy, log in and click Find a Payment Policy on the right side of your home page. Or, go to Office Resources>Policies & Guidelines> Payment Policies.
Questions?
If you have any questions, please call Network Management and Credentialing Services at 1-800-316-BLUE (2583). As always, thank you for the care you provide to our members.
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