The OB/GYN Coding Professional: A Comprehensive Training Program
OB/GYN coding moves between two very different worlds. Gynecologic procedures are coded one at a time by approach, structure and, for hysterectomy, uterine weight. Starting in 2027, obstetric care is coded phase by phase: antepartum and postpartum visits with E/M codes, new daily labor management codes, and separate delivery codes. Pregnancy diagnoses follow their own rules for trimester, weeks of gestation and the fetus affected. This course helps experienced coders follow the work described in OB/GYN records. We will cover office and preventive gynecology, antepartum, labor management and postpartum care under the CPT 2027 maternity codes, delivery, obstetric ultrasound and fetal testing, pregnancy loss and ectopic pregnancy, hysteroscopy, laparoscopy and hysterectomy, pelvic floor and cervical procedures, and gynecologic oncology. Case reviews focus on documented work, CPT and NCCI Chapter VII rules, ICD-10-CM Chapter 15, and when a physician clarification is appropriate.
Webinar Objectives
- 1. Follow female pelvic anatomy and the structure of gynecologic operative reports and prenatal records.
- 2. Distinguish gynecologic procedure coding from phase-by-phase obstetric coding under CPT 2027.
- 3. Apply ICD-10-CM Chapter 15 rules for trimester, weeks of gestation and the fetus affected.
- 4. Recognize documented clinical indicators without making an independent clinical determination.
- 5. Find the passages in procedure reports that support a proposed CPT code.
- 6. Distinguish separately reportable work from services already included in another code.
- 7. Use current CPT instructions, coding guidance and applicable edits to check code selection.
- 8. Recognize missing, unclear or conflicting details that could affect coding accuracy.
- 9. Know when a physician clarification is needed and when the existing record is sufficient.
- 10. Explain coding decisions clearly to providers and clinical staff using the documented work.
Format & Logistics
Important Disclaimers
This course is for educational purposes only and does not constitute legal, compliance, or professional advice. Always consult your organization's legal counsel, compliance officer, or payer-specific guidance before applying any coding, billing, or documentation practice discussed here.
CPT® is a registered trademark of the American Medical Association (AMA). Healthcare Inspired is not affiliated with or endorsed by the AMA.
This course does not offer CEU credit on its own. HCi members have access to separate CEU-eligible live webinars and events as part of their membership, and this specialty course is included in qualifying HCi membership tiers.
Module 1: Understanding OB/GYN Documentation
Lesson 1.1: Your Role in OB/GYN Coding
Lesson 1.2: Reading the Operative Report and Prenatal Record
Lesson 1.3: OB/GYN Terms That Change the Code
Lesson 1.4: Gynecology Versus Obstetrics
Lesson 1.5: Researching OB/GYN Codes
Module 2: Office Gynecology and Preventive Care
Lesson 2.1: Preventive Visits
Lesson 2.2: Preventive Plus Problem
Lesson 2.3: Office Procedures
Lesson 2.4: Devices, Drugs, and Z Codes
Module 3: Antepartum, Labor Management, and Postpartum Care
Lesson 3.1: The 2027 Structure
Lesson 3.2: Labor Management Rules
Lesson 3.3: Initial or Subsequent Day
Lesson 3.4: Straightforward or Complex
Lesson 3.5: Postpartum Care and Diagnoses
Module 4: Delivery, Cesarean, and VBAC
Lesson 4.1: When Delivery Care Begins
Lesson 4.2: Vaginal and Cesarean Codes
Lesson 4.3: Repairs and Other Services
Lesson 4.4: Multiples and Diagnoses
Module 5: Obstetric Ultrasound and Fetal Testing
Lesson 5.1: Ultrasound by Trimester and Type
Lesson 5.2: Fetal Testing
Lesson 5.3: Components
Lesson 5.4: Diagnoses
Module 6: Pregnancy Loss, Ectopic Pregnancy, and Complications
Lesson 6.1: Pregnancy Loss
Lesson 6.2: Ectopic Pregnancy
Lesson 6.3: Loss and Ectopic Diagnoses
Lesson 6.4: Complications
Module 7: Hysteroscopy, Laparoscopy, and Hysterectomy
Lesson 7.1: Hysteroscopy
Lesson 7.2: Laparoscopy
Lesson 7.3: Hysterectomy
Lesson 7.4: Diagnoses
Module 8: Pelvic Floor, Cervical, and Gynecologic Oncology Procedures
Lesson 8.1: Pelvic Floor
Lesson 8.2: Cervical Procedures
Lesson 8.3: Oncology
Module 9: Documentation, Compliance, and Physician Queries
Lesson 9.1: CPT Support
Lesson 9.2: Risks and Missing Details
Lesson 9.3: Queries and Rationale
Module 10: Putting It Together: Complex OB/GYN Cases
Lesson 10.1: The Five-Step Process
Lesson 10.2: Gynecology Review
Lesson 10.3: Obstetrics Review
