Wiki Billing Antepartum Care

[hudsondna]

Howdy All,
We are having a discusion on how antepartum visits should be sent to insurances.
I have been told that when billing the antepartum care you need to list out every date of service(one dos on its own line charge). Then I was told that you list one line charge with the to and from dates with the quantity of those dates. Which is correct. I know Medicaid requires you list out each date of service. What is the rule for cimmercial insurances?

 

[amjordan]

Most commercial carriers follow CPT guidelines. You would only bill out antepartum care if you didn't provide the global service, which includes the delivery and postpartum care. If you have a patient that you only see for up to 3 antepartum visits, you bill out each visit as an E/M code. If the patient is seen for 4-6 antepartum visits you would simply bill 59425, once. If the patient is seen for 7 or more you bill 59426, once. Granted, you only bill these if you did not provide the global service.