Ask a Coding or Practice Management Question
Have obstetrics and gynecology coding questions? Want to report an issue with a payer, denial, or appeal? ACOG’s Payment Advocacy and Policy Portal can help you find the answer!
ACOG’s Payment Advocacy and Policy Portal is a service free for ACOG members and physicians and their staff. Registration is required; we recommend that staff create their own accounts so that they can enjoy the benefits and information.
Once you register, you’ll have immediate access to the latest updates for coding and billing policies, including a library of specific instructions for various procedures and situations. You’ll also be able to get your questions answered by certified medical coders, practice managers, physicians, and ACOG professionals with the most knowledge about topics relevant to you.
In addition to getting you the answers you need, your participation also helps ACOG identify the issues most important to members. Questions are aggregated and tracked to identify similar issues, helping ACOG flag systemic or widespread issues for further analysis and intervention by the coding and health policy team.
Register now to gain access to the Payment Advocacy and Policy Portal. Members and their staff will have access to assistance with …
- Payer issues, such as appeals, denials, and policy changes
- Telehealth billing and policies
- Medicare and Medicaid regulations
- Reporting administrative burden issues
- Affordable Care Act coverage policies
- Coding events and products questions
- Billing for ultrasounds, LARC, surgery, and OB care
- Diagnostic coding and procedure coding
Frequently Asked Questions
Coding Manual
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ACOG’s OB/GYN Coding Manual is the primary coding and billing resource for obstetricians, gynecologists, and their staff.
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The manual will help you and your practice management team accurately assign procedural codes that reflect the care documented in medical records and ensure proper reimbursement.
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The manual is divided into three parts:
- Guidance on various coding in obstetrics and gynecology topics
- Correct coding on surgical cases that include the current work relative value units
- Coding assistance, coding tips, and appendices that include printable tables for quick reference to coding guidelines
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The manual follows established Current Procedural Terminology (CPT) guidelines and Medicare guidelines for accurately reporting medical procedures. It represents the expert opinions of ACOG staff and members of the ACOG Committee on Health Economics and Coding (CHEC) about the specific services included or not included when coding for obstetrics and gynecology procedures.
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The coding manual is updated annually to provide a comprehensive summary of new and updated CPT codes relevant to coding, billing, and reimbursement.
Code Development
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CPT billing codes are developed through a tested, refined process managed by the AMA. ACOG provides expert physician representatives to help propose and advocate for new codes and the values they are assigned through a survey process.
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The survey is distributed randomly to licensed, practicing ACOG members in the United States who have the expertise to perform the service addressed by the survey.
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Anyone can propose a new code. The CHEC reviews code proposals from several types of stakeholders and determines if they will cosponsor, support, abstain from voting on, or oppose the application. Anyone interested in submitting a code proposal for the CHEC to review can register to use the portal and submit a ticket requesting a new diagnosis code or a new procedure code.
Coding On Demand 2023
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Coding On Demand is a series of webinars that offers unique training on how to bridge the gap between accurate documentation and coding to the highest specificity for commonly occurring obstetric and gynecologic services.
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Coding On Demand is designed for obstetrician–gynecologists, practice managers, medical coders, medical billers, and other qualified health care practitioners who provide obstetric and gynecologic services.
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ACOG’s team of talented expert staff and physicians serve as presenters for the webinars.
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Coding On Demand webinars will teach participants how to …
- Discuss the requirements for correct code selection
- Demonstrate the ability to implement appropriate documentation to ensure accurate reimbursement
- Identify the relationship between diagnostic and procedural coding
- Discuss common coding mistakes and the risks of inaccurate coding and billing practices
- Improve coding to ensure proper reimbursement for services rendered
- Help prevent denials or delays in payment that can result in loss of revenue for your practice
- Help improve the quality of your documentation to accurately code and bill for your services
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Individual modules are $99 for members and $144 for nonmembers. You can also purchase a bundle featuring all three webinars at $247 for members and $392 for nonmembers.
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Upon successful completion of all three webinars, participants will receive a total of 11 CME or CEU credits.
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ACOG is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACOG has also approved Coding On Demand courses for a core credential and a specialty credential for medical billers and coders in partnership with the American Academy of Professional Coders.
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No, you do not need to be an ACOG member to purchase and access the course—but you do need an acog.org account.
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Anyone with the registered account login information can access the course material. However, CME and CEU credit will only be provided to the main account holder. To earn educational credits, you must purchase the course separately.
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Yes, you can download the slide deck and handouts associated with each module.
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The course material will expire on November 30, 2023. You may download the presentation slide decks and other handouts before the course expires.
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Coding On Demand features three modules with 14 webinars total:
- Module 1: CPT Coding/ Reimbursement Guidelines
- CPT Coding/Payer Guidelines
- E/M Outpatient Coding Updates and Clarifications
- E/M Inpatient Coding Updates and Clarification
- Module 2: Obstetric Coding
- ICD-10 Diagnosis Coding for Obstetric Care
- Coding the Obstetric Global Package
- OB & GYN Ultrasound Coding
- Coding for Non-global Obstetric Services
- Module 3: Gynecology Procedure Coding
- Coding the Global Surgical Package
- Surgical Modifiers and Clinical Documentation Guidelines
- Coding for Endometrial Biopsy
- Coding for Laparoscopic Salpingectomy
- Coding for Hysterectomy
- Coding for Abortion and Pregnancy Loss
- Coding for Long-Acting Reversible Contraception (LARC)
Each individual webinar will include recorded presentations, downloadable slides, relevant handouts, a posttest, and educational credits.
- Module 1: CPT Coding/ Reimbursement Guidelines
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While the length of time it takes to complete a module varies from user to user, Module 1 takes approximately three hours, Module 2 takes approximately three and one-half hours, and Module 3 takes approximately four and one-half hours.
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Open the modules to find the webinar materials and the associated presentations and certificates. You’ll be able to download your certificate once you’ve completed the webinars. Find further instructions in the module description.
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After completing the required presentations in the module, the certificate will become available for download.