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Wiki Billing for breastfeeding issues during post partum period

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sooloo66

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We have a physician who often sees her OB patient's after delivery for breastfeeding complications. She bills an established office visit with a diagnosis code reflecting the issue, example 676.40. These visits are usually denied as being included in the post-partum period. I am new to OB coding.

Any suggestions on more appropriate coding that would be considered by insurers?

Thank you
 
I believe the office visit code should have a -79 modifier on it, for "Unrelated service by the same provider in a postoperative period".
 
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I would use a mod 24 for unrelated e/m services during global. Mod 79 is for an unrelated procedure. Also, be sure to specifiy your dx to postpartum, instead of unspecified - 676.44.

Lauren, CPC, COBGC
 
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