Wiki 59426

[Shortcakecoder101]

I'm billing an antepartum code of 59426 to Aetna Better Health, they're stating a modifer is required. I don't agree and I've never heard of that before...Can anyone help????

Thanks

 

[jeanh]

59429

If this is the Aetna Better Health (medicaid plan) you could need modifier HD and a U* modifier. If not medicaid plan then don't think you need a modifier either.


Maybe someone else will chime in with their knowledge

 

[kathyvl74]

Is there any other service billed on the same date? like an ultrasound? they may want modifier 25 but it shouldn't be necessary

 

[tracylc10]

The only modifier I can think of might be TH, but that is only for Medicare. I would call the insurance to clarify.

 

[Shortcakecoder101]

59 Modifer

That was the only code billed that day.

Thanks