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OB/GYN Services

DMA Clinical Policy and Programs
Phone Number 919-855-4320
Fax 919-733-2796

OB/GYN services include medically necessary obstetrical and gynecological care, and family planning.

Clinical Coverage Policies

• 1E-1, Hysterectomy (PDF, 162 KB)
• 1E-2, Therapeutic and Non-therapeutic Abortions (PDF, 117 KB)
• 1E-3, Sterilization Procedures (PDF, 292 KB)
• 1E-4, Fetal Surveillance (PDF, 181 KB)
• 1E-5, Obstetrics (PDF, 281 KB)
• 1K-7, Prior Approval for Imaging Procedures (PDF, 194 KB)

Information on OB/GYN services is also available in the October 2005 Special Bulletin, OB/GYN Billing Guide.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.

• Index of Articles for OB/GYN Providers
• Index of Articles for Pregnancy Medical Home Providers
• Index of All Bulletins
• All Bulletins by Date

Physician Services (CPT/HCPCS) Fee Schedules

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