2015 Prenatal Billing Information
Global Billing
Your prenatal care and delivery will be billed as a “global” package. The global package includes up to 13
routine prenatal office visits, delivery, and the post-partum office visit. It will be billed out at the end of
your pregnancy (unless you change insurance mid pregnancy). Please note: if there are more than 13 routine
prenatal office visits, there may be separate office visit charges.
Services not included in the Global OB Package
Below is a list of some services we offer that are not included in the global package. These items will be billed
separately to your insurance company during your pregnancy in real time as they occur. These services are
standard of care and recommended per ACOG guidelines but not required.
 Confirmation of Pregnancy Office Visit: (Your first appointment). The Diagnosis code will be V72.42-confirmation of pregnancy.
 Prenatal Panel (blood-work) (CPT Codes 85025, 86900, 86901, 86850, 87340, 86780, 86762)
 HCG, Quant (CPT Code 84702)
 HIV testing (CPT 87389)
 Hemoglobin (CPT Code 85025)
 Pap Smear (CPT Code 88175)
 Chlamydia/Gonorrhea (CPT Code 87491, 87591)
 Urine Culture (CPT Code 87088)
 Gestational Diabetes Glucose screening (CPT Code 82950 for 1 hour test or 82951 for 3 hour test)
 Group B Strep/Vaginal Culture (CPT Code 87081/87070 & 87205)
 Other labs your provider feels is medically necessary for mom and baby’s health
 Ultrasounds (Dating – 76801 and/or 76817; 20 week Complete – 76805; Biophysical Profile – 76819
(with non-stress test 76819) Follow-up Growth – 76816)
 Non-Stress Test (CPT Code 59025)
 Non-Obstetrical care related office visits (i.e. UTI, sore throat, vaginal infections, etc.)
Optional Genetic Screenings:
 Verifi Testing (CPT codes 81420 and 88271) Billing is done by Progenity Labs (773-255-5293)
 Harmony Testing (CPT codes 81507) Billing is done by Ariosa Diagnostics (855-927-4672)
 Nuchal Translucency Ultrasound (CPT Code 76813, 76801) Billing is done by PerkinElmer Labs/NTD
(p 888-683-5227)
 Genetic Carrier Screening Progenity – NXT Panel (SMA, Fragile X, Cystic Fibrosis) (p 773-255-5293)
 AFP testing (CPT Code 82105) or Quad Screen (CPT Code 82105, 82677, 86336, & 84702)
Some ultrasounds and/or labs may need to be done at another facility. It is your responsibility to find out if these places
are in-network/covered with you insurance company and if a referral is needed prior to being seen. Questions regarding
your specific coverage on services or hospitalization should be directed to your insurance company.
If you have billing questions, please contact our Business Office 952-922-7600.
To schedule appointments or speak with a nurse, please call the main line at 952-922-7600.
Updated 3/20/15 KL