Ob-Gyn Coding Alert
READER QUESTIONS:
Think Twice Before Using Modifier 55
Published on Mon Jan 08, 2007
Question: The patient went to the hospital in the middle of her pregnancy, delivered, and came to us for the postpartum visit. Can I bill 59430-55 for the postpartum visit? The answers for Reader Questions and You Be the Coder were provided by Melanie Witt, RN, CPC-OGS, MA, an ob-gyn coding expert based in Guadalupita, N.M.
New Jersey Subscriber
Answer: No, you should report only 59430 (Postpartum care only [separate procedure]). Modifier 55 (Postoperative management only) goes on the surgical delivery or global code. So you would have to know what the delivering physician billed in order to use it.
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