Billing Antepartum Care

hudsondna

Networker
Messages
44
Best answers
0
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

True Blue
Messages
751
Location
Blue Springs, MO
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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.
 
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