COBGC Evaluation and Management Coding 2

Question 1

Which CPT code represents antepartum-only care when a provider furnishes 7 or more visits but does not perform the delivery or postpartum care?

Accepted Answer

59426

Answer

CPT 59426 covers antepartum-only care of 7 or more visits when another provider will handle delivery and postpartum services.

Question 2

Modifier 24 appended to an E&M service code during the global OB period indicates that the service is:

Accepted Answer

An unrelated E&M performed during a postoperative global period

Answer

Modifier 24 signals that the E&M service is unrelated to the original procedure or delivery and is performed during the postoperative or global period.

Question 3

A patient who delivered vaginally is seen six weeks later for her postpartum check-up only, and the delivering physician is reporting this visit separately. Which CPT code applies?

Accepted Answer

59430

Answer

CPT 59430 is reported for postpartum care only when billed separately from the global OB package.

Question 4

A patient who had a cesarean delivery is seen two weeks postoperatively for treatment of a urinary tract infection unrelated to her surgery. The appropriate modifier to append to the E&M code is:

Accepted Answer

Modifier 24

Answer

Modifier 24 is required to indicate that the E&M service (UTI management) is unrelated to the global surgical/OB period.

Question 5

Under the standard prenatal care schedule, the global OB package (e.g., 59400) typically encompasses approximately how many antepartum visits?

Accepted Answer

13

Answer

The global OB package includes approximately 13 antepartum visits following the standard schedule of monthly visits early in pregnancy, bi-weekly around 28–36 weeks, and weekly near term.

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(COBGC) Certified Obstetrics Gynecology Coder Practice Test

COBGC Evaluation and Management Coding 2