OB/GYN Medical Billing Services for Obstetrics & Gynecology Practices in the USA
Specialized billing for obstetrics and gynecology, managing everything from routine wellness to complex deliveries.
Specialty highlight
99%
Built around payer rules, documentation requirements, and coding nuances.
Global OB Package Accuracy
99%
Clean Claim Rate
96%
Full-Cycle OB/GYN Billing Services From Antepartum to Postpartum Care
OB/GYN billing is uniquely challenging, combining preventive gynecological care with the complex, time-intensive global episodes of obstetrical care. Our service is designed to manage the full spectrum of your practice, from annual well-woman exams and in-office procedures to antepartum care, delivery, and postpartum follow-up. We ensure accurate coding for all services, proper handling of global obstetrical packages, and maximized reimbursement for both medical and surgical gynecology.
Global OB Package Management
End-to-end tracking of antepartum, delivery, and postpartum care under the global obstetrical package, ensuring no billable component is missed or incorrectly split-billed.
Delivery & Surgical Coding
Precise CPT coding for vaginal deliveries (59400), cesarean sections (59510), VBAC, operative obstetrics, and all complication-related procedures billed to maximum allowable reimbursement.
Gynecological Procedure Billing
Accurate coding for hysterectomies, colposcopies, LEEP procedures, D&C, and high-volume in-office procedures like IUD insertions and endometrial biopsies with correct modifier usage.
High-Risk OB & Ultrasound Billing
Specialized billing for high-risk obstetrical care, antenatal surveillance, and ultrasound interpretations (76805, 76810, 76817) with payer-specific LCD compliance reviews.
OB/GYN Billing Challenges & Revenue Cycle Solutions
OB/GYN billing spans two distinct specialties with entirely different coding frameworks. These are the most common revenue leakage points our team eliminates for OB/GYN practices.
- Managing the global obstetrical package, which includes antepartum, delivery, and postpartum care.
- Accurately coding for vaginal deliveries, C-sections, and the numerous complications that can arise.
- Distinguishing between covered gynecologic procedures and non-covered services.
- Billing for a high volume of in-office procedures (colposcopy, LEEP, IUD insertions).
- Ensuring correct coding for high-risk obstetrical care and ultrasound interpretations.
- Certified OB/GYN coders with in-depth knowledge of CPT and ICD-10 coding for obstetrics and gynecology.
- Expert management of global obstetrical packages, tracking all visits and services within the episode of care.
- Precise coding for all types of deliveries and associated surgical procedures.
- Accurate billing for a full range of gynecological surgeries and in-office procedures.
- Proactive verification of insurance benefits and coordination of maternity coverage.
- Detailed support for ultrasound and other diagnostic imaging coding.
How We Keep Your OB/GYN Claims Accurate & Paid
Our OB/GYN billing workflow is purpose-built for the dual complexity of obstetrics and gynecology, ensuring every claim — from routine well-woman exams to complex deliveries — passes payer edits the first time.
Global OB Package Tracking
Comprehensive management of global OB packages (59400, 59510, 59610, 59618), tracking all antepartum visits, delivery, and postpartum care under a single episode to prevent split-billing errors.
Delivery & Operative Obstetrics Coding
Precise coding for vaginal deliveries, C-sections, VBAC, forceps/vacuum deliveries, and operative obstetrics, with correct complication coding using O-code ICD-10 diagnoses.
Gynecological Surgery & In-Office Procedure Billing
Accurate coding for hysterectomies, colposcopies, LEEP, D&C, and all in-office procedures including IUD insertions, endometrial biopsies, and vulvar biopsies with correct modifier application.
Family Planning & Contraceptive Billing
Billing for implantable contraceptives, IUD insertions, and family planning counseling services with correct HCPCS and CPT codes, including proper use of Z30 diagnosis codes.
Ultrasound & Diagnostic Imaging Coding
Expert coding for obstetric ultrasounds (76805, 76810, 76817, 76816) distinguishing between standard, detailed, and high-risk anatomical surveys, and managing professional vs. technical component billing.
OB/GYN Coding Complexities & Claim Denial Triggers
From global package bundling rules to delivery complication coding, these are the areas that define OB/GYN billing accuracy and directly determine whether your claims get paid.
- Global OB coding using the appropriate code based on the type of delivery (59400, 59510, 59610, 59618).
- Separate billing for antepartum visits only (59425, 59426) when not providing delivery.
- Coding for complications of pregnancy (O20-O29) and their impact on delivery codes.
- Correct use of modifiers for bilateral procedures and multiple surgeries.
Incorrect coding of global OB packages (e.g., billing for antepartum visits separately).
Missing modifiers for bilateral or multiple procedures.
Unbundling of surgical procedures.
Lack of medical necessity for diagnostic tests like ultrasound.
Coordination of benefits errors for maternity care.
OB/GYN CPT, ICD-10 & HCPCS Codes for Accurate Billing
Our OB/GYN coders are trained on the complete obstetrics and gynecology CPT and ICD-10 code sets, from antepartum visit coding to complex delivery procedures and all gynecological surgeries.
CPT
59400 (Vaginal Delivery), 59510 (C-Section), 76805 (OB Ultrasound), 58150 (Total Hysterectomy), 99214 (Office Visit)
ICD-10
Z34.90 (Normal Pregnancy), O80 (Encounter for Full-Term Delivery), N92.0 (Menorrhagia), N83.2 (Ovarian Cyst), Z12.4 (Screening for Malignant Neoplasm of Cervix)
Frequently Asked Questions
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Revenue cycle services for this specialty
Connect specialty-specific billing needs with the core MI MedCare services that keep claims accurate, compliant, and moving.
Medical Billing
End-to-end medical billing services that improve claim acceptance and accelerate reimbursements.
Revenue Cycle Management
Complete RCM solutions covering patient intake, billing, payments, and financial reporting.
Medical Coding
Certified coders ensure accurate ICD-10, CPT, and HCPCS coding for compliant claims.
Credentialing
Provider credentialing and payer enrollment to get your practice contracted faster.
Eligibility Verification
Insurance eligibility and benefits verification before services are delivered.
Denial Management
Identify denial causes, correct errors, and recover lost revenue efficiently.