55 Pa. Code § 1150.55 - Obstetrical services
(a) The fee
for a delivery includes:
(1) Antepartum care
provided on an inpatient basis.
(2)
Inpatient and outpatient office or home visits provided by the practitioner who
performed the delivery, for a purpose related to delivery, during the number of
postpartum days specified in the Medical Assistance Program Fee Schedule for
each obstetrical procedure. During this specified period, the practitioner who
performed the delivery is eligible to receive payment for treatment of a
medical or surgical condition if the diagnosis necessitating the treatment is
different and unrelated to the delivery.
(b) The practitioner performing the delivery
may also bill for visits for care of the newborn if that practitioner is the
responsible attending physician for the newborn.
(c) In addition to the practitioner
performing the delivery, another practitioner may bill for stand-by services
but only in the case of Cesarean sections or high risk deliveries. This is in
lieu of billing for an initial visit.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.