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Wiki Delivery Charges
- Thread starter KREAGAN
- Start date
amjordan
True Blue
You should be able to bill a laceration repair code since he did not perform the delivery. You will have to look at his note to determine which code to use. That is as long as the provider that did the actual delivery was not a member of your group.
amjordan
True Blue
Then, unless it was a 3rd or 4th degree laceration repair, then there is nothing that can be billed.
I have a case just like this one - vaginal delivery with 3rd degree laceration. The insurance company (Wellcare) is denying 12042, saying that it's included in the other procedure. Can someone please point towards some ACOG literature or some proof that the code is separately payable, so that we can appeal? Thanks!
amjordan
True Blue
Here is the link to ACOG's opinion on laceration repair.
http://www.acog.org/departments/dept_notice.cfm?recno=6&bulletin=4645
http://www.acog.org/departments/dept_notice.cfm?recno=6&bulletin=4645
If none of your docs did the delivery then YES you can charge the repair code or 59300 for episiotomy and hospital visits.
but you will have to bill out the antepartum & PP care seperatly.
doc cannot bill for the delivery if they didnt actually deliver.
the best senerio i can give is the pt delivers at home and comes in to be repaired. so none of our docs delivered.but he/she performs a service and should be paid
hope this helps.
but you will have to bill out the antepartum & PP care seperatly.
doc cannot bill for the delivery if they didnt actually deliver.
the best senerio i can give is the pt delivers at home and comes in to be repaired. so none of our docs delivered.but he/she performs a service and should be paid
hope this helps.