COBGC Obstetric Coding Basics

Question 1

What is the global obstetric package?

Accepted Answer

A bundled code covering antepartum care, delivery, and postpartum care

Answer

The global OB package bundles routine prenatal visits, delivery, and postpartum follow-up into one comprehensive code.

Question 2

How are antepartum visits counted for global OB coding?

Accepted Answer

By tracking the total number of visits to determine which global package code applies

Answer

The number of antepartum visits determines which modifier or standalone code is used.

Question 3

What modifiers are used in obstetric coding?

Accepted Answer

Modifier 22 (increased services), 52 (reduced services), and 59 (distinct procedural service)

Answer

OB modifiers adjust codes when services differ from the standard global package.

Question 4

How is a cesarean delivery coded?

Accepted Answer

Using specific CPT codes for C-section that differ from vaginal delivery codes

Answer

C-section has its own CPT codes distinct from vaginal delivery, reflecting the surgical procedure.

Question 5

What is coding for high-risk pregnancy?

Accepted Answer

Additional codes for conditions like gestational diabetes, preeclampsia, or multiple gestation

Answer

High-risk conditions require additional diagnosis and procedure codes beyond the routine OB package.

(COBGC) Certified Obstetrics Gynecology Coder Practice Test