Hello! I am a new coder for an FQHC OB/GYN. For our Medicaid program, we do not bill the traditionally global delivery services. Our Medicaid plan directs us to split bill each service.
When it comes to deliveries, I have been instructed we bill the delivery-only codes, such as 59409 (vaginal delivery) and 59514 (Cesarean Delivery).
Currently, our process is that all we bill for the entire inpatient encounter is the delivery-only code.
According to CPT 2020, "When reporting delivery only services (59409, 59514, 59612, 59620), report inpatient postdelivery management and discharge services using Evaluation and Management Services codes (99217-99239)."
So I'm reading that in addition to the delivery-only code, which has a 0-day global designation, that we can also bill subsequent inpatient hospital care codes and discharge services. CPT does state that all delivery codes include admission to the hospital, admission H&P, Management of uncomplicated labor, and delivery services.
Does anyone have any experience here? Thank you very much!
When it comes to deliveries, I have been instructed we bill the delivery-only codes, such as 59409 (vaginal delivery) and 59514 (Cesarean Delivery).
Currently, our process is that all we bill for the entire inpatient encounter is the delivery-only code.
According to CPT 2020, "When reporting delivery only services (59409, 59514, 59612, 59620), report inpatient postdelivery management and discharge services using Evaluation and Management Services codes (99217-99239)."
So I'm reading that in addition to the delivery-only code, which has a 0-day global designation, that we can also bill subsequent inpatient hospital care codes and discharge services. CPT does state that all delivery codes include admission to the hospital, admission H&P, Management of uncomplicated labor, and delivery services.
Does anyone have any experience here? Thank you very much!