Gynecology Billing: From Preventive Care to Complex Procedures
Gynecology billing involves different parts of the body, i.e., preventive care, diagnostic testing, and procedure-based treatments. Any visit must be recorded in accordance with the coding regulations for the female reproductive system. It basically represents the documentation of pelvic exams (CPT 57454), Pap smears (CPT 88142–88175), and breast exams during routine well-woman visits (CPT 99381–99397 for preventive E/M). The care that follows an abnormality or a minor procedure also needs to be coded properly (CPT 99212–99215).
In addition, surgical procedures such as endometrial biopsies (CPT 58100), colposcopies with biopsy (CPT 57452), and hysterectomies (CPT 58150–58294) require detailed coding, besides having the proper prior authorization, if necessary. Gynecology clinics depend on accurate claim submissions, benefit verifications, and denial monitoring to be in line with payer rules. Our team is on top of these details so that your clinic is free to run the normal exams and handle the complex cases without billing errors disrupting you.
Our Expertise in Gynecology Billing
- ✔Specialized Knowledge: We have extensive experience in OB/GYN billing, ensuring compliance and accuracy in coding.
- ✔Timely Claims Submission: We prioritize quick turnaround times for claims to optimize reimbursement cycles.
- ✔Dedicated Support: Our team offers personalized assistance to clients for resolving any billing-related inquiries.
- ✔Advanced Technology: We utilize cutting-edge billing software for efficient claims processing and tracking.
- ✔Continuous Education: Our coders regularly participate in training to stay informed about changes in coding and billing practices.
Achieve Financial Excellence in Your Gynecology Practice
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Gynecology Billing Services
Comprehensive billing support enables the gynecology practice to concentrate fully on patient care, while we take care of the intricacies of revenue management. The services we offer are meant to facilitate every step of your billing process, from coding for preventive visits and diagnostic procedures to handling surgical claims and global obstetric packages. We help you secure your income and lessen the waiting time by providing support for proper documentation, submission of claims in a timely manner, and following payer guidelines. Our staff also keeps track of compliance with ACOG and Medicare rules, deals with denials in a proactive manner, and offers you a plan for your appeals that gives your practice a stable financial base while at the same time, the administrative work is less, and the reimbursements increase.
Explore More SpecialtiesPreventive Care and Well-Woman Visits
Accurate billing for annual exams, Pap smears, and contraceptive counseling ensures faster reimbursements.
Surgical Procedure Coding
Expert coding for hysteroscopies, laparoscopies, LEEP procedures, and other gynecologic surgeries improves claim approval.
Diagnostic Test Billing
We efficiently manage claims for ultrasounds, colposcopies, endometrial biopsies, and other diagnostic procedures.
Global Obstetric Package Billing
Precise management of global OB packages, including prenatal, delivery, and postpartum care, ensures complete reimbursement.
ACOG and Medicare Compliance
Stay compliant with the latest ACOG and Medicare billing guidelines to avoid denials or audits.
Denial Management and Appeals
We analyze, manage, and appeal denials for women’s health services to improve cash flow.
Why Choose Our Gynecology Billing Solutions
Our team improves coding accuracy, speeds up claim resolution, and lowers administrative workload. This allows your gynecology practice to focus on care quality while maintaining dependable financial stability.
Nationwide Gynecology Billing Support
Allow your practice to be the best by having a team that knows very well the different requirements of the gynecologic care. We make the revenue cycle more efficient for you, reduce your administrative burden, and create a place in your team where they can focus on giving great patient experiences. Your practice with efficient workflows and trustworthy billing proficiency is a way to financial growth that is stable and of a long-term nature.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Gynecology Billing FAQ's
Preventive service codes from 99384 to 99397 are generally used for billing routine gynecologic exams, the exact code varying in accordance with the patient's age, sex, and whether the visit is an initial or a follow-up one.
Code G0101 is the one used for Medicare patients when preventive pelvic and breast screenings are performed. This coding ensures compliance with federal screening requirements and correct reimbursement for these preventive healthcare services.
Usually, the code Q0091 is assigned to the collection of a Pap smear specimen when the specimen is to be used for a cytological preventive cervical cancer screening.
Colposcopy, along with biopsy and curettage, for instance, are usually represented by codes 57454, 57460, or 57461, the choice of which depends on whether the biopsy has been taken or if extra therapeutic measures have been done during the check-up.
The regular gynecologic ultrasound codes are 76830, 76856, and 76857. 76830 is for the transvaginal ultrasound, 76856 is for a complete pelvic ultrasound, and 76857 is for a limited pelvic ultrasound, the last two depending on the extent and diagnostic purpose of the imaging.
Intrauterine device procedure coding normally indicates 58300 for an insertion, and removal is marked as 58301. Proper coding is the key to giving the right contraceptive management services, both in terms of documentation and reimbursement.
If an endometrial biopsy is performed independently, the local code is most likely 58100, which comprises the sampling of endometrial tissue for a diagnostic investigation and proper billing for the pathology service.
In the case of a biopsy during hysteroscopy, the commonly used charge will be according to code 58558. Suppose any other intervention is carried out during the procedure; in that case, different service codes may have to be used to indicate a more comprehensive level of care.
Dilation and curettage, a surgical method that is a part of Indian obstetric and gynecologic practice, is mostly referred to as 58120, thereby availing both elements, i.e., the dilation of the cervix and the removal of uterine contents.
Gynecological office visits for new patients generally cover from 99202 to 99205 usage of codes, whereas, in the case of established patients, 99212 to 99215 are employed in accordance with the complexity of the visit and the medical decision-making level necessary.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”