Wiki Antepartum

[halled67@gmail.com]

Inquire if billed as outpat hsp dx labor check w/cpt 59025 denied as investigational ?

 

[csperoni]

I would imagine this depends on the dx billed and carrier policy.

 

[halled67@gmail.com]

thank you

 

[nielynco]

Inquire if billed as outpat hsp dx labor check w/cpt 59025 denied as investigational ?

59025 is an NST, not a labor check procedure (which is always part of global care). So yes, you would not get paid for it without a diagnosis that supported medical necessity for testing the well-being of the fetus.

 

[halled67@gmail.com]

Service outpatient hospital which an appeal was forward for reconsideration , payer later reimbursed facilities paid for services .

 

[halled67@gmail.com]

59025 is an NST, not a labor check procedure (which is always part of global care). So yes, you would not get paid for it without a diagnosis that supported medical necessity for testing the well-being of the fetus.

Thank you for your feedback services were outpatient hospital for the actual facility , appeal reconsideration was overturned .