GLOBAL MATERNITY TIPS- A SIX PART SERIES (PART 4)

cigna

PART 4- CIGNA

Cigna_global_maternity_obstetric_package

Global maternity care for Cigna is referred to as the “total obstetric package”, and includes antepartum care,  delivery, and postpartum care. ​

SPLIT BILLING FOR CIGNA
There are several circumstances that may require you to bill delivery, antepartum, and postpartum separate:

  • If the member is seen only for the first one to three antepartum visits.
  • If another provider in a different practice assumes care of the member prior to completion of global services.
  • If the pregnancy does not result in delivery.
  • If the member is seen for delivery only/postpartum care only or both.

THINGS TO REMEMBER:

  • Complications of pregnancy are not considered routine obstetric care and are not included in Global Maternity/Obstetric Package.  Documentation must be sent along with filing of claim to avoid denials.
  • If the delivering provider saw the patient for less than 3 antepartum visits, you will utilize the (Antepartum & Postpartum) codes above and bill the antepartum visits separate as E/M codes. Choose the appropriate code, bill as “1” unit with date of delivery as the date of service

Resources & Credits:

Check out our ICD-10, ICD-11 Delayed, Services, 25 Modifier, Meet the Owners, Global Maternity Part 1, Global Maternity Part 2, or Global Maternity Part 3 page.

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