Wiki Billing H&P with delivery only code (59409

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eeoo

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The guidelines say that delivery services include admission to the hospital, and the H&P. If a provider bills vaginal delivery only, Code 59409, and also bills a hospital admit this is incorrect. Has anyone else ran into this problem?
 
I have and unless there is a complication, i.e., patient not progressing after being induced (2-3 days), then I don't bill for it. I wasn't sure about this myself but I discussed it w/ my compliance officer and this was the conclusion we came to.
 
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