Wiki Billing for normal delivery

[miriam j]

Now i am confused!!! I am trying to bill for a normal delivery and single liveborn. 650 and v27.0. Claim is kicked back--what am i doing wrong in terms of getting paid for this service? Help!!!!

 

[bonzaibex]

Are you billing a global CPT? If so, you need a global OB code to go with the delivery (650) & the outcome (V27.0). Try resubmitting with a V22.x also. I put it in at the #2 spot in dx order.

Becky, CPC

 

[miriam j]

Hi Becky--

Thanks for the info. I am not billing a global CPT. What are the global CPT codes for normal delivery and outcome?

 

[Lisa Bledsoe]

Now i am confused!!! I am trying to bill for a normal delivery and single liveborn. 650 and v27.0. Claim is kicked back--what am i doing wrong in terms of getting paid for this service? Help!!!!

If you are billing for the global service (antepartum, delivery, postpartum) normal vaginal delivery: CPT 59400 with ICD-9 650, V27.0. There should be no problem in getting this paid.

 

[bonzaibex]

Delivery only is 59409 (59410 if you are providing postpartum care). If your doc provided all antepartum care in addition to the delivery, you'd bill a 59400. There are other codes to consider if cesarean was involved or if patient was a VBAC, but it doesn't sound like this was the case.

The 650 + V27.0 diagnosis codes are all that's needed on a delivery only code & are usually sufficient even if you're billing the full global code. Maybe there's something else wrong with your claim?

Becky

 

[Narayana]

Normal delivery only- 59409

59409 Vaginal delivery only (with or without episiotomy and/or forceps),
This CPT is most appropriate for Normal Delivery.