Ob - HPT+ and TVUS+ at first visit

If the the reason for an OV with the Ob-Gyn is to confirm pregnancy and the patient comes in with amenorrhea and positive home pregnancy test, and a transvaginal ultrasound confirms positive for pregnancy, does that visit begin the global package, or can that visit be billed as an E/M service?

I'm new at Ob (obviously), but there are 5 Ob-Gyn in our multi-specialty practice, each of whom bill differently, the documentation habits are dissimilar in this clinical scenario, too.

Thanks for the reply
Sandy

Ob

probably will see multiple opinions on this by payer. If visit was a scheduled OB visit, it will be part of global package. If patient has menses suppression (626.8) and the E/M confirmed pregnancy but OB record not initiated during the encounter,-may allow E/M. V22.0 is coded if the patient leaves the office with confirmed pregnancy.