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CPT® 59425, Under Vaginal Delivery, Antepartum and Postpartum Care Procedures

The Current Procedural Terminology (CPT®) code 59425 as maintained by American Medical Association, is a medical procedural code under the range - Vaginal Delivery, Antepartum and Postpartum Care Procedures.

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Summary

This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the pregnancy terminates prior to delivery. In some cases, the provider must use this code when he does not provide all of the antepartum care, but does perform the delivery with or without postpartum care because the patient transfers in from another practice, and the payer does not allow the provider to bill a global services code such as 59400.

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Have a question about CPT Code 59425 ? Start a discussion here
When to add 52 mod to global OB billing
I'm currently adding more OB coding to my skill set and I believe this may be mostly carrier specific. I have seen some carriers not recognize -52 on global OB. At least 1 carrier states -52 on glob... [ Read More ]
I need help
[QUOTE="jebond123, post: 513871, member: 820469"] When billing [I]antepartum care only(59425 or 59426) [/I] due to late entry for care or insurance change, what do I do if the care spans two separate ... [ Read More ]
I need help
When billing [I]antepartum care only(59425 or 59426) [/I] due to late entry for care or insurance change, what do I do if the care spans two separate years? Most times, these claims process with no p... [ Read More ]
Ob Patient and midwife
[QUOTE="Pam Brooks, post: 509662, member: 4811"] Same practice, or different practice? If the same practice, you'd have to wait until delivery and bill the global code anyway. If a different practic... [ Read More ]
Ob Patient and midwife
[QUOTE="Pam Brooks, post: 509662, member: 4811"] Same practice, or different practice? If the same practice, you'd have to wait until delivery and bill the global code anyway. If a different practic... [ Read More ]
Ob Patient and midwife
Same practice, or different practice? If the same practice, you'd have to wait until delivery and bill the global code anyway. If a different practice, you can bill 59425, antepartum care, 4-6 visit... [ Read More ]
CARESOURCE OHIO
[QUOTE="Lb6731@hotmail.com, post: 505159, member: 500864"] Happy New Year! Having issues billing maternity care with Caresource Ohio. Sometimes they pay the global billing ( ex: 59425, 59409, 59430... [ Read More ]
CARESOURCE OHIO
Happy New Year! Having issues billing maternity care with Caresource Ohio. Sometimes they pay the global billing ( ex: 59425, 59409, 59430) and sometimes they will only pay the ante partum (59425 o... [ Read More ]
how do I bill antepartum care only for twins
[QUOTE="bgrasson, post: 505043, member: 298926"] i would bill the 59425 or 59426 codes- 1-3 visits only would be E/M. [/QUOTE] Do I bill 59426 for each baby? or 59426-22 for twins... [ Read More ]
how do I bill antepartum care only for twins
i would bill the 59425 or 59426 codes- 1-3 visits only would be E/M.... [ Read More ]
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