OB/GYN runs three books: obstetric global packages, gynecologic surgery, and annual preventive. Each has distinct rules. We manage global billing without the timing errors that cost practices six figures a year.
We see the same patterns across ob/gyn groups. The leaks are specific, recurring, and fixable with coding discipline and payer-aware claim construction.
Not a complete list. A representative slice of the codes that drive revenue and denials for ob/gyn practices.
| Code | Description | Profile |
|---|---|---|
| 59400 | Obstetric global package, vaginal delivery | High volume |
| 59510 | Obstetric global, cesarean | Modifier-sensitive |
| 59430 | Postpartum care only | Denial-prone |
| 59025 | Fetal non-stress test | High volume |
| 58300 | IUD insertion | Modifier-sensitive |
| 57454 | Colposcopy with biopsy | Denial-prone |
| 99381 to 99397 | Preventive E/M, age-appropriate | High volume |
Global OB tracking from first prenatal to 6-week postpartum. Split billing triggered automatically when patient transfers care or coverage changes mid-global. Problem plus preventive visit coded with modifier 25 when supported.
Pattern we see. Global OB split billing errors when coverage changes, modifier 25 denied on preventive plus problem visits, and IUD insertion denied without separate billing of the device (J7297, J7298, J7300).
How we fix it. Every denial is logged against its CARC/RARC code and routed to a coder who owns the appeal. We rebuild the claim with the documentation the payer is actually asking for, not a generic reconsideration letter. Recovery rate on appealable ob/gyn denials averages above 60 percent.
A written 30-day diagnostic. Dollar figures against every finding. No obligation.