OB/GYN BILLING & CODING
OB/GYN Billing & Coding Services
From patient access to denial management, we bring best practices to every step of the OB/GYN revenue cycle.
7
OB/GYN subspecialties supported
$21K
Denial recovered (case study)
50 states
Practices supported nationwide
OB/GYN Billing & Coding Services
OB/GYN billing and coding requires specialized expertise due to complex maternity care workflows, global obstetric packages, and evolving coding guidelines. Billing for OB/GYN services often involves a combination of surgical procedures, prenatal and postpartum care, preventive screenings, and diagnostic testing — accurate coding and documentation are essential for appropriate reimbursement and compliance.
The Complexity of OB/GYN Billing
MBW RCM demonstrates specialty expertise across several OB/GYN subspecialties and procedures, including:
- Maternal-Fetal Medicine
- Reproductive Endocrinology & Infertility
- Urogynecology & Pelvic Reconstructive Surgery
- Advanced Laparoscopic Gynecologic Surgery
- Family Planning Services
- Pediatric & Adolescent Gynecology
- Menopausal & Geriatric Gynecology
Global Obstetric Packages & Coverage Verification
Many maternity services are billed using global obstetric packages that include prenatal visits, delivery, and postpartum care — understanding which services fall inside versus outside that package is essential for accurate billing. Pregnancy coverage often extends across inpatient and outpatient services, and certain procedures performed during the global period may still be billed separately.
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Global obstetric packages: Identifying which prenatal, delivery, and postpartum services are bundled versus separately billable.
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Coverage verification: Confirming pregnancy-related coverage across inpatient and outpatient settings.
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Documentation requirements: Detailed clinical documentation to support surgical and maternity procedures.
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Modifier usage: Correct application of CPT modifiers to distinguish same-encounter procedures.
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Surgical coding: Accurate CPT assignment for laparoscopic and other gynecologic surgical procedures.
MBW RCM brings specialty-focused expertise to OB/GYN billing — accurate global obstetric package coding, surgical and maternity documentation review, and denial prevention that has recovered claims like a $21K denial for one OB/GYN practice.
CODING REFERENCE
Common CPT Codes Used in OB/GYN Billing
59400 / 59510
Global obstetric package — routine antepartum care, vaginal or cesarean delivery, and postpartum care
59409 / 59514
Delivery only (vaginal or cesarean), when antepartum/postpartum care is billed separately
59425 / 59426
Antepartum care only, billed by number of visits (4–6, or 7 or more)
59430
Postpartum care only, when delivery was billed separately
76801–76817
Obstetric ultrasound services, by trimester and type of study
58150–58573
Gynecologic surgical procedures, including hysterectomy and laparoscopic approaches
Benefits of Our OB/GYN Billing & Coding Services
Streamlined Billing Processes: Patient demographics, insurance verification, authorizations, coding, and reconciliation handled end-to-end.
Shift Focus to Denial Prevention: Structured processes that catch documentation gaps before claims go out.
Expertise with Major Insurers: Established workflows for the payers OB/GYN practices bill most.
Proficiency in Medical Billing Software: Fluent across leading OB/GYN billing and EHR platforms.
Improved Financial Outcomes: Accurate global package and surgical coding that protects revenue.
Compliance and Risk Management: Coding aligned to CMS and AMA guidelines, reducing audit risk.
PROVEN SCHEDULING OUTCOMES
Real Results for OB/GYN Billing & Coding Services
Latest OB/GYN Billing & Coding Services Insights
Frequently Asked Questions
What makes OB/GYN billing complex?+
Which CPT codes are commonly used in OB/GYN?+
Does MBW RCM handle OB/GYN surgical billing?+
Why outsource OB/GYN billing to MBW RCM?+
What are typical errors in OB/GYN billing?+
What specialties within OB/GYN does MBW RCM support?+
GET STARTED
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