OB/GYN Billing Services
A global maternity package miscoded loses months of prenatal revenue in one claim. A C-section billed without the correct antepartum visit count gets denied entirely. A hysterectomy going out without prior authorization means a five-figure claim never gets paid.
OB/GYN billing is not just complex, it is uniquely unforgiving. GenMediTech handles every part of your OB/GYN billing process so your practice collects every dollar it has earned, from the first prenatal visit to the final postpartum claim.
- 98% First Pass Clean Claim Rate
- 24–48 Hours Claim Turnaround
- 30% Reduction in A/R
- 100% HIPAA-Compliant
Why OB/GYN Billing Loses More Revenue Than Most Specialties
OB/GYN practices deal with a billing structure that does not exist anywhere else in medicine, global maternity packages, antepartum visit counts, split care scenarios, and procedure-heavy gynecologic surgeries all running simultaneously. Most billing teams are not equipped for this level of complexity. Here is where revenue disappears.
Global Maternity Package Billed Incorrectly
The global OB package bundles all antepartum visits, the delivery, and postpartum care into a single code, 59400 for vaginal delivery or 59510 for cesarean. If antepartum visits are not counted correctly or the wrong global code is used the entire package gets denied or underpaid. That is months of care lost in one claim.
Split Care Not Handled Correctly
When a patient transfers mid-pregnancy or sees multiple providers the global package cannot be billed by any single provider. Each provider must bill for only the services they personally provided using component codes. Most practices get this wrong, resulting in overbilling flags or lost revenue.
Prior Authorization Missing on Surgical Procedures
Hysterectomies, myomectomies, LEEPs, and laparoscopic procedures almost always require prior authorization. One missing approval means a high-value surgical claim gets denied completely.
Modifier Errors on Complex Procedures
OB/GYN claims require frequent and precise modifier usage, modifier 22 for increased complexity, modifier 59 for distinct procedures, modifier 25 for same-day E&M and procedure. Wrong or missing modifiers on gynecologic surgeries result in denials and underpayments on every affected claim.
Newborn Billing Missed Entirely
Newborn care codes, 99460 for initial care, 99461 for subsequent care, and 99462 for continuing care, are separate from the delivery billing. Most OB practices either miss them entirely or bundle them incorrectly. That is recoverable revenue left on the table after every delivery.
Medicaid and Commercial Payer Rules Not Followed
OB/GYN practices deal with Medicaid more than most specialties. Medicaid global OB package rules vary by state. Commercial payers have their own authorization requirements. Billing without understanding these differences results in consistent denials across your highest-volume claims.
Procedures We Bill for OB/GYN Practices
Every procedure below requires specialty-specific coding, correct modifier application, and accurate documentation support. We handle all of them.
- Vaginal Deliveries
- Cesarean Deliveries
- VBAC Deliveries
- Antepartum and Postpartum Care
- Newborn Care
- D&C after Miscarriage
- Hysterectomy
- Myomectomy
- LEEP Cervical Excision
- Hysteroscopy
- Colposcopy
- Endometrial Biopsy
- Obstetric Ultrasound
- Tubal Ligation
- Oophorectomy
- IUD Insertion and Removal
- Laparoscopic Gynecologic Procedures
Our OB/GYN Billing Services — And What They Do For Your Practice
Global Maternity Package Billing
We count antepartum visits accurately and apply the correct global OB code, 59400 for vaginal delivery, 59510 for cesarean with prenatal and postpartum care, 59610 for VBAC. Your practice collects the full global package payment every time, no underpayments from miscounted visits.
Split Care and Component Billing
When care is shared between providers we bill each provider's component separately, antepartum visits under 59425 or 59426, delivery only under 59409 or 59514, postpartum only under 59430. Your practice collects exactly what it provided, nothing more, nothing less.
Gynecologic Surgery Coding
Hysterectomies, myomectomies, LEEPs, hysteroscopies, colposcopies, and laparoscopic procedures are coded from operative reports, not assumptions. The correct surgical code, approach, and laterality are applied every time so your high-value surgical claims pay at the right rate.
Newborn Care Billing
We capture and bill newborn care separately from the delivery, initial newborn care under 99460, subsequent care under 99461, and continuing newborn care under 99462. Revenue your practice earns in the nursery actually gets collected.
Prior Authorization Management
We manage pre-authorization for every procedure that requires it, hysterectomies, LEEPs, myomectomies, and complex laparoscopic cases. Your surgical schedule never gets delayed and your claims never get denied for a missing approval.
Modifier Management
We apply modifiers 22, 25, 59, 76, and 51 correctly based on documentation and payer-specific rules. Your complex cases get paid at the right rate and your same-day services do not get bundled away.
Obstetric Ultrasound Billing
Routine and detailed obstetric ultrasounds are billed under the correct CPT codes, 76801 through 76817, based on gestational age and clinical indication. Technical and professional components are billed separately where applicable so your practice captures full imaging revenue.
Evaluation and Management Coding
Prenatal office visits outside the global package and gynecology-only visits are coded under the correct E&M level. Modifier 25 is applied when E&M and a procedure are performed on the same day and documentation supports both.
Denial Management and Appeals
Every denial gets reviewed for root cause, global package error, modifier issue, authorization problem, or documentation gap. We correct it and resubmit with proper documentation. The same denial does not repeat.
OB/GYN CPT and ICD-10-CM Codes We Work With
Global Obstetric Packages
CPT 59400 covers routine obstetric care including antepartum, vaginal delivery, and postpartum care. CPT 59510 is for routine obstetric care including antepartum, cesarean delivery, and postpartum care. CPT 59610 covers routine obstetric care for VBAC attempts including antepartum and postpartum care.
Component OB Codes — Split Care
CPT 59425 covers antepartum care only, four to six visits. CPT 59426 covers antepartum care only, seven or more visits. CPT 59409 is for vaginal delivery only. CPT 59514 covers cesarean delivery only. CPT 59430 covers postpartum care only.
Gynecologic Procedures
CPT 58150 covers total abdominal hysterectomy. CPT 58260 covers vaginal hysterectomy. CPT 58550 covers laparoscopic-assisted vaginal hysterectomy. CPT 58571 covers total laparoscopic hysterectomy. CPT 58140 covers myomectomy abdominal approach. CPT 57522 covers conization of the cervix — LEEP procedure. CPT 58300 covers IUD insertion. CPT 58301 covers IUD removal. CPT 58558 covers hysteroscopy with biopsy. CPT 57454 covers colposcopy with biopsy.
Newborn Care
CPT 99460 covers initial newborn care in the hospital setting. CPT 99461 covers subsequent newborn care. CPT 99462 covers continuing newborn care.
Obstetric Ultrasound
CPT 76801 covers ultrasound obstetric less than 14 weeks. CPT 76805 covers ultrasound obstetric 14 weeks or more. CPT 76811 covers detailed fetal anatomic surveys. CPT 76816 covers follow-up ultrasound after 14 weeks.
Common ICD-10-CM Codes
O80 covers encounter for full-term uncomplicated delivery. O82 covers encounters for cesarean delivery. O24.410 covers gestational diabetes in pregnancy during the first trimester. Z34 series covers supervision of normal pregnancy by trimester. O60 series covers preterm labor. O26 series covers pregnancy-related conditions. N92 series covers irregular menstruation. N83 series covers ovarian and fallopian tube disorders. Z30 series covers contraceptive management.
OB/GYN Billing Problems We Fix Every Day
Global OB package denied or underpaid?
We count antepartum visits accurately and apply the correct global code. Your practice collects the full package payment — not a fraction of it.
Split care billed incorrectly?
We identify which provider delivered which component of care and bill each one separately under the correct component code. No overbilling. No lost revenue.
Prior authorization missing on a surgical case?
We track authorization requirements per payer and per procedure. Nothing gets scheduled for billing without the right approval in place.
Newborn care never billed?
We capture every eligible newborn encounter and bill it separately from the delivery. Revenue your practice earned in the nursery actually gets collected.
Modifier error causing denial in a complex case?
We review documentation, apply the correct modifier, and resubmit with supporting documentation. Complex cases get paid at the rate they deserve.
Medicaid claim denied due to state-specific rules?
We follow state-specific Medicaid global OB rules for every state your practice operates in. No Medicaid denial from a rule your billing team did not know about.
Frequently Asked Questions
The global OB package bundles all antepartum visits, the delivery, and postpartum care into a single CPT code, 59400 for vaginal delivery or 59510 for cesarean. Antepartum visits must be counted correctly, typically seven or more visits qualify for the full global package. If visits are miscounted or the wrong code is used the entire package payment is affected.
When care is split between providers the global package cannot be billed by any single provider. Each provider bills only for the services they personally provided, antepartum component codes, delivery only codes, or postpartum only codes. We handle split care billing correctly so every provider collects exactly what they earned.
Yes. Newborn care is billed separately under CPT 99460, 99461, and 99462. It is completely separate from the delivery billing. Most practices miss this revenue entirely, we make sure it gets captured every time.
We manage pre-authorization for every procedure that requires it, hysterectomies, LEEPs, myomectomies, and complex laparoscopic cases. We track authorization requirements per payer and secure approval before anything gets billed.
Yes. Medicaid global OB rules vary by state. We follow state-specific Medicaid requirements for every state your practice operates in, so your highest-volume payer never becomes your highest denial rate.
We apply modifiers 22, 25, 59, 76, and 51 based on documentation and payer-specific rules. Every modifier is applied only when documentation supports it, and every complex case gets the modifier it needs to pay correctly.
We identify the exact denial reason, fix it at the source, and resubmit with proper documentation. Denial patterns are tracked so the same problem does not repeat.
Yes. Every workflow at GenMediTech follows strict HIPAA protocols, encrypted data handling and controlled access at every step.
OB/GYN Revenue Lost to Billing Errors Is Revenue Your Practice Already Earned.
Global package miscoded. Newborn care is never billed. Split care handled wrong. Prior authorization missing on a surgical case. Every one of these is money your practice earned from real patient care, and never collected.
Our OB/GYN billing specialists are ready to fix that, starting now.
