Modifier 24 Not Required for Unrelated Antepartum Visit

Modifier 24 Not Required for Unrelated Antepartum Visit

Question: If an ob/gyn sees an established, pregnant patient during the antepartum for a problem unrelated to pregnancy, can the provider bill separately for that visit, or is the service bundled into the maternity care? If the provider can bill, is it necessary to append modifier 24 Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period to the E/M code?

Answer: “Yes, you can bill and no, you don’t need a modifier,” says Kerin Draak, MSN, WHNP-BC, CPC, CEMC, COBGC. “You can even bill for a problem during the antepartum if the condition is complicating the pregnancy.”

For additional information, see “3 OB Coding Myths Exposed” in the December 2013 Healthcare Business Monthly.

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John Verhovshek

John Verhovshek

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.
John Verhovshek

About Has 404 Posts

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.

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