Wiki Confused by antepartum billing

[drufolo]

I have always billed CPT 59425 for (4-6) visits when the patient changes insurance or if they
leave the practice.
Just recently I followed up on a claim for (4-6) visits 59425 and was told by the rep. at UHC that the visits must be billed for each date of service using 59425 for each date and adjust the charge for each date of service this way the patient won't be billed for a copay.
I belive they are wrong. What's the point of having the CPT codes 59425 and 59426.

 

[kvangoor]

That doesn't sound correct to me either. I would ask for a copy of their medical policy on coding antepartum care. I found a publication from 05' that advises to use the single most comprehensive code but I am sure there is something more current.
https://www.unitedhealthcareonline....and Resources/NetworkBulletin_May05_Final.pdf