VictoriaOlson
New
Hello everyone,
I have a little bit of a dilemma and I'm hoping that someone can help me out. Here is the scenario:
Patient was seen in the hospital for a c-section and my OB assisted. This patient had previously not been seen in our clinic.
Patient then comes to our office a month later with an infection of the c-section site. She attempted to get into her primary OB but due to COVID was unable to be seen.
We have not billed out the delivery as per our state Medicaid guideline our assist claim MUST match the primary surgeon's in regards to diagnosis codes and we are waiting for the other clinic's codes.
My question is which is the most accurate way to bill this? My provider thought it should just be a regular office visit but I disagree. I'm thinking that it should either be postpartum care (59430) or instead of billing 59514 (cesarean delivery only) with modifier 80, bill 59515 (cesarean delivery including postpartum care) with modifier 80.
Any suggestions?
I have a little bit of a dilemma and I'm hoping that someone can help me out. Here is the scenario:
Patient was seen in the hospital for a c-section and my OB assisted. This patient had previously not been seen in our clinic.
Patient then comes to our office a month later with an infection of the c-section site. She attempted to get into her primary OB but due to COVID was unable to be seen.
We have not billed out the delivery as per our state Medicaid guideline our assist claim MUST match the primary surgeon's in regards to diagnosis codes and we are waiting for the other clinic's codes.
My question is which is the most accurate way to bill this? My provider thought it should just be a regular office visit but I disagree. I'm thinking that it should either be postpartum care (59430) or instead of billing 59514 (cesarean delivery only) with modifier 80, bill 59515 (cesarean delivery including postpartum care) with modifier 80.
Any suggestions?
diagnosis codes, diagnosis coding